CMS Price Transparency Data

Blood test, lipase

Facility: UCSF Health St. Mary's Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at UCSF Health St. Mary's Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 450 Stanyan St, San Francisco, CA.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $98 (1422%)
Insurance Median: $8 (116%)
Cash: $98 (1422% of Medicare)
Ins. Median: $8 (116% 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
Blue Shield Ca $5 - $153 73%
Chinese Community $5 - $123 73%
Magellan $5 - $253 73%
Healthsmart $6 - $295 87%
Kaiser $6 - $144 87%
Aetna $7 - $39 102%
Blue Cross Blue Shield $7 - $176 102%
Brown Toland $7 102%
Connected Care $7 102%
Health Net $7 - $13 102%
Health Plan San Mateo $7 - $9 102%
Humana $7 102%
Mhn $7 102%
Multiplan $7 - $349 102%
United $7 - $8 102%
California Health & Wellness $8 - $9 116%
Partnership Health Plan $8 - $9 116%
Sfhp $8 - $9 116%
Us Behavioral Health $8 - $189 116%
Kentfield $20 290%
Oscar $23 334%
Cigna $30 - $32 435%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Stanyan St, San Francisco, CA 94117
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals