CMS Price Transparency Data

Blood test, lipase

Facility: Washington Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $94
  • Cash Discount Price: $137
  • vs. Medicare Baseline: 13.64x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Washington Hospital is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $137. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 13.64x the Medicare baseline. Located in 2000 Mowry Ave, Fremont, CA.
Cash / Self-Pay
$137

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)
Cash / Self-Pay: $137 (1988%)
Insurance Median: $94 (1364%)
Cash: $137 (1988% of Medicare)
Ins. Median: $94 (1364% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.89 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1364% of the Medicare baseline (a markup of 1264%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $7 - $217 102%
Alameda Alliance Mcr Adv $7 102%
Blue Cross Blue Shield $7 - $225 102%
Blue Shield Mcr Adv $7 102%
Brand New Day Mcr Adv - All Plans $7 102%
Canopy Mcr Adv $7 102%
Central Hlth Mcr Adv - All Plans $7 102%
Health Net Sr Plus Hmo $7 102%
Humana $7 - $280 102%
Kaiser Mcr Adv $7 102%
On Lok Senior Health Services-All Plans $7 102%
Tricare $7 102%
UnitedHealthcare $7 - $269 102%
Va (Triwest Ccn)-All Plans $7 102%
Kaiser Medi-Cal $8 116%
Medi-Cal $8 116%
Health Net/Healthy Family/Aim $22 - $62 319%
Alameda Alliance Ppo-All Other Plans $33 - $93 479%
Canopy-All Other Plans $57 - $159 827%
Blue Shield Eppo $58 - $164 842%
Kaiser - All Other Plans $60 - $168 871%
Healthnet Comm - All Other Plans $67 - $187 972%
Cigna $69 - $249 1001%
Blue Shield Hmo $75 - $209 1089%
Pacific Health Alliance Epo $78 - $218 1132%
Standford Health Services-All Plans $78 - $218 1132%
County Of Santa Clara-All Plans $83 - $233 1205%
Blue Shield Ppo - All Other Plans $86 - $242 1248%
Pacific Foundation Epo $89 - $249 1292%
Corvel-All Plans $94 - $264 1364%
Interplan B-2 Ppo $94 - $264 1364%
Masonic Homes Ppo-All Plans $94 - $264 1364%
Multiplan Ppo-All Plans $94 - $264 1364%
Pacific Health Alliance Ppo-All Other Plans $94 - $264 1364%
Preferred Health Network-All Plans $94 - $264 1364%
Interplan B-4 Ppo-All Other Plans $98 - $274 1422%
Cna (Mailhandlers)-All Plans $100 - $280 1451%
First Health -All Plans $100 - $280 1451%
Pacific Foundation Ppo-All Other Plans $100 - $280 1451%
Phcs/Private Healthcare Systems-All Plans $100 - $280 1451%
Three Rivers Provider Network-All Plans $100 - $280 1451%
Beech Street-All Plans $105 - $295 1524%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Mowry Ave, Fremont, CA 94538
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals