CMS Price Transparency Data

Blood test, lipase

Facility: Glendale Adventist Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $43
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 6.24x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Glendale Adventist Medical Center is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 6.24x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$51

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $51 (740%)
Insurance Median: $43 (624%)
Cash: $51 (740% of Medicare)
Ins. Median: $43 (624% 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 624% of the Medicare baseline (a markup of 524%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Bc Medi-Cal $2 29%
Blue Shield Epn - All Other Plans $2 - $196 29%
UnitedHealthcare $2 - $253 29%
Blue Shield Non Epn $3 - $226 44%
Caremore Mcr Adv - All Plans $3 - $304 44%
Healthcare Partners- All Plans $3 - $253 44%
Healthnet - All Other Plans $3 - $301 44%
Heritage Commercial - All Other Plans $3 - $282 44%
Heritage Sr $3 - $288 44%
La Care Mcr Adv- All Plans $3 - $293 44%
Western Growers/Pinnacle - All Plans $3 - $282 44%
First Health- All Plans $4 - $309 58%
Phcs- All Plans $4 - $346 58%
Scan Mcr Adv - All Plans $4 - $346 58%
Beech Street - All Plans $5 - $400 73%
Choicecare - All Plans $5 - $400 73%
Corvel- All Plans $5 - $426 73%
Employers Health Network - All Plans $5 - $37 73%
Health Mgmt Network - All Plans $5 - $453 73%
Kaiser - All Plans $5 - $453 73%
Phys Assoc Op Only- All Plans $5 - $37 73%
Three Rivers - All Plans $5 - $453 73%
Alignment Hp Mcr Adv - All Plans $6 - $533 87%
Blue Shield Medi-Cal $6 - $20 87%
Healthnet Mcal $6 - $9 87%
Heritage Mcal $6 - $8 87%
Medi-Cal $6 - $8 87%
Molina Mcal $6 - $8 87%
Blue Cross Blue Shield $7 - $76 102%
Blue Shield Mcr Adv $7 102%
Clever Care Mcr Adv - All Plans $7 102%
Molina Mcr $7 102%
Regal Med Group Mcal $7 102%
Tricare $7 102%
Regal Medical Group Commercial - All Other Plans $8 116%
Dept Of State Hsp Metropolitan- All Plans $9 131%
Healthnet Mcr Adv $9 - $757 131%
Molina Exchange - All Other Plans $9 131%
Ah Employee Health Plan - All Plans $12 174%
Centivo - All Plans $16 232%
Cigna $24 348%
Aetna $41 595%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals