CMS Price Transparency Data

Blood test, lipase

Facility: Marinhealth Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $11
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Marinhealth Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.60x the Medicare baseline. Located in 250 Bon Air Road, Greenbrae, CA.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $86 (1248%)
Insurance Median: $11 (160%)
Cash: $86 (1248% of Medicare)
Ins. Median: $11 (160% 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
Aetna $6 - $15 87%
Blue Cross Blue Shield $6 - $10 87%
Cigna $6 - $21 87%
UnitedHealthcare $6 - $2,330 87%
Brown And Tolan $7 102%
Healthnet Tailored Network $7 102%
Kaiser $7 102%
Marin Cancer Care $7 102%
Canopy Hill Physicians $9 - $40 131%
Healthnet Hmo/Ppo Hill Physicians $9 - $46 131%
Hills Blue Shield Hmo/Ppo $9 - $45 131%
Ca Prison Health Care Services $11 160%
Healthnet Enhancedcare $18 261%
Provider Network Of America $33 479%
Canopy $40 581%
Blue Shield Cpic/Epo $41 595%
Providers Network Of America $43 624%
Blue Shield Hmo/Ppo $45 653%
Healthnet Hmo/Ppo $46 668%
Blue Shield Aco $47 682%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 Bon Air Road, Greenbrae, CA 94904
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals