CMS Price Transparency Data

Blood test, lipase

Facility: Adventist Health Bakersfield

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $48
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 6.97x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Adventist Health Bakersfield is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 6.97x the Medicare baseline. Located in 2615 Chester Avenue, Bakersfield, CA.
Cash / Self-Pay
$52

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $52 (755%)
Insurance Median: $48 (697%)
Cash: $52 (755% of Medicare)
Ins. Median: $48 (697% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 697% of the Medicare baseline (a markup of 597%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 Medi-Cal $2 29%
Blue Shield Epn $2 - $117 29%
Blue Shield Epo/Ppo $2 - $130 29%
Blue Shield Hmo/Pos - All Other Plans $2 - $130 29%
County Of Kern - All Plans $3 - $176 44%
Gem Care- All Plans $3 - $176 44%
Kern Legacy Hp Epo - All Other Plans $3 - $176 44%
Kern Legacy Share Select $3 - $176 44%
UnitedHealthcare $3 - $153 44%
Western Growers/Pinnacle- All Plans $3 - $174 44%
First Health/Coventry- All Plans $4 - $212 58%
Interplan- All Plans $4 - $247 58%
Phcs- All Plans $4 - $229 58%
Affiliated Health Funds-All Plans $5 - $282 73%
Beech Street- All Plans $5 - $300 73%
Galaxy Health Network- All Plans $5 - $318 73%
Healthnet Hmo/Pos/Ppo/Epo - All Other Plans $5 - $263 73%
Integrated Health Plan-All Plans $5 - $282 73%
Three Rivers Provider Network- All Plans $5 - $282 73%
Healthnet Mcal $6 - $9 87%
Kaiser Mcal Ip/Op Only $6 - $8 87%
Kern Health Systems Mcal $6 - $10 87%
Medi-Cal $6 - $8 87%
Blue Shield Mcr Adv $7 102%
Fhcn Pace Mcr Adv - All Plans $7 102%
Healthnet Mcr Adv $7 102%
Kaiser Mcr Adv Ip/Op Only $7 102%
Universal Health Plan Mcare-All Other Plans $7 102%
Amrcn Indian Hlth Proj Mcr Adv - All Plans $8 116%
Network Provdrs Llc Mcare -All Payers $9 131%
Oscar - All Plans $11 160%
Employee Health Plan - All Plans $12 174%
Kaiser Comm Hmo Ip/Op Only-All Other Plans $12 174%
Centivo - All Plans $16 232%
Cigna $25 363%
Aetna $42 610%
Blue Cross Blue Shield $59 - $66 856%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2615 Chester Avenue, Bakersfield, CA 93301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals