CMS Price Transparency Data

Blood test, lipase

Facility: Good Samaritan Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $13
  • Cash Discount Price: $577
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Good Samaritan Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $577. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.89x the Medicare baseline. Located in 2425 Samaritan Drive, San Jose, CA.
Cash / Self-Pay
$577

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $577 (8374%)
Insurance Median: $13 (189%)
Cash: $577 (8374% of Medicare)
Ins. Median: $13 (189% 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
Medcare Partners $3 - $170 44%
Santa Clara Family Health Plan $4 - $215 58%
Health Net $5 - $264 73%
United $5 - $289 73%
Aetna $7 - $35 102%
Affinity Medical Group $7 102%
Alignment Health Plan $7 102%
Blue Cross Blue Shield $7 - $36 102%
Blue Shield $7 - $13 102%
Care1St Health Plan $7 102%
Central Health Plan $7 102%
Clever Care Of Golden State $7 102%
Easy Choice Health Plan $7 102%
Humana $7 - $794 102%
Managed Health Network $7 102%
On Lok Senior Health $7 102%
Palo Alto Medical $7 - $9 102%
Scan Health Plan $7 102%
Triwest Healthcare Alliance $7 102%
University Healthcare $7 102%
Vitality Health Plan $7 102%
Corvel Corporation $8 116%
Physicians Medical Group $8 116%
Affinity Medical Group Comm $9 131%
Canopy $12 174%
Nx Health Network $12 - $680 174%
Sutter Select $12 - $680 174%
Multiplan $13 - $907 189%
Bright Health $14 203%
First Health $15 - $1,134 218%
Cigna $16 - $907 232%
Healthsmart $16 - $907 232%
Intercontinental Corporation $16 - $907 232%
Pha Pacific Health Alliance $16 - $907 232%
Ppo Next $16 - $907 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Samaritan Drive, San Jose, CA 95124
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals