CMS Price Transparency Data

Blood test, lipase

Facility: AHMC Seton Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $9
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at AHMC Seton Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $202 (2932%)
Insurance Median: $9 (131%)
Cash: $202 (2932% of Medicare)
Ins. Median: $9 (131% 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.

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
Veterans Administration (Va) $5 73%
Medi-Cal $6 87%
Aetna $7 - $21 102%
Apcmg $7 - $10 102%
Asian American Medical Group $7 - $9 102%
Blue Cross Blue Shield $7 - $191 102%
Blue Shield Of California $7 - $88 102%
Brand New Day $7 - $9 102%
Brown And Toland Medical Group $7 - $9 102%
Canopy Health $7 - $12 102%
Care Advantage $7 102%
Central Health Plan $7 102%
Chinese Community Health Plan $7 - $126 102%
Cmac $7 102%
Covid-19 Uninsured Program $7 102%
Easy Choice Hospital Services $7 102%
For Your Benefit $7 102%
Healthnet Seniority $7 102%
Hill Physicians Medical Group Inc $7 - $8 102%
Humana $7 102%
Imperial Health Plan $7 102%
Jade Health Care Mg $7 - $126 102%
Kaiser $7 - $207 102%
Medicare (plans) $7 102%
North East Medical Services $7 - $9 102%
Pacificare $7 102%
San Mateo County/San Mateo County General Hospital $7 102%
UnitedHealthcare $7 - $14 102%
Athens Administrators $8 116%
Corvel Healthcare $8 116%
Health Plan Of San Mateo Healthworx $8 116%
Multiplan/Bce Emergis $8 - $189 116%
Tricare $8 116%
Work Comp Other $8 116%
Ahmc Health $9 131%
Knox-Keene Act $9 131%
San Francisco Health Plan $9 131%
Health Plan Of San Mateo $10 145%
Cigna $35 508%
Self Pay $38 - $86 552%
Interplan Corporation $151 2192%
Healthcare Foundation Of San Mateo $176 - $189 2554%
Private Healthcare Sytems Inc $189 2743%
The First Health Network $189 2743%
Health Net $193 2801%
Beech Street Corporation $202 2932%
Choicecare Network $214 3106%
Multiplan $214 3106%
Mills Peninsula Health Services $227 3295%
Indemnity $252 3657%
Workers Compensation Federal $252 3657%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals