CMS Price Transparency Data

Blood test, lipase

Facility: Adventist Health Lodi Memorial

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $31
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Adventist Health Lodi Memorial is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$31

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $31 (450%)
Insurance Median: $7 (102%)
Cash: $31 (450% of Medicare)
Ins. Median: $7 (102% 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
Bc Mcal $2 29%
Blue Shield Epn - All Other Plans $2 - $253 29%
Blue Shield Non-Epn $2 - $262 29%
Kaiser Commercial - All Other Plans $2 - $320 29%
Medcore(Omni Ipa) Op Only- All Plans $2 - $203 29%
Healthnet- All Other Plans $3 - $383 44%
Networks By Design- All Plans $3 - $390 44%
UnitedHealthcare $3 - $324 44%
Beech Street- All Plans $5 - $702 73%
Cigna $5 - $702 73%
First Health- All Plans $5 - $640 73%
Multiplan- All Plans $5 - $624 73%
Three Rivers Provider Network- All Plans $5 - $702 73%
Western Growers- All Plans $5 - $702 73%
Celtic Ins Company - All Plans $6 - $9 87%
Healthnet Mcal $6 - $11 87%
Hp Of San Joaquin Mcal $6 - $10 87%
Hp Of San Joaquin Ppo - All Other Plans $6 - $741 87%
Kaiser Mcal $6 - $8 87%
Medi-Cal $6 - $8 87%
Alignment Health Plan (Ahp)-All Plans $7 102%
Blue Shield Mcare Adv $7 102%
Cca Health Plan Mcr Adv- All Plans $7 102%
Healthnet Mcare $7 102%
Hp Of San Joaquin Mcr Adv $7 102%
Humana $7 102%
Kaiser Mcr Adv $7 102%
Tricare $7 102%
Knnex Health - All Plans $8 116%
Ah Employee Health Plan - All Plans $12 174%
Bright Health - All Plans $14 203%
Aetna $23 334%
Blue Cross Blue Shield $68 - $76 987%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals