CMS Price Transparency Data

Blood test, lipase

Facility: Community Memorial Hospital - Ventura

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Community Memorial Hospital - Ventura is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 147 North Brent Street, Ventura, CA.
Cash / Self-Pay
$16

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: $16 (232%)
Insurance Median: $7 (102%)
Cash: $16 (232% 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
Valley Care $1 - $12 15%
Gold Coast Health Plan $2 - $16 29%
Medicaid / KanCare $2 - $16 29%
Ventura County Health Care Plan $2 - $12 29%
Multiplan $4 - $28 58%
Aetna $6 - $47 87%
Alignment Health Plan $6 - $7 87%
Blue Cross Blue Shield $6 - $9 87%
California Workers Compensation $6 - $7 87%
Health Net Commercial $6 - $29 87%
Humana $6 - $7 87%
Medi-Cal $6 - $9 87%
Medicare (plans) $6 - $7 87%
Non Contracted $6 - $7 87%
Scan Health Plan $6 - $7 87%
Seaview $6 87%
Tricare $6 - $7 87%
UnitedHealthcare $6 - $12 87%
Wellcare Of California $6 - $7 87%
Cigna $9 131%
Kaiser Commercial $25 363%
Blue Shield Epn $27 392%
Blue Shield Commercial $30 435%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 147 North Brent Street, Ventura, CA 93003
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals