CMS Price Transparency Data
Blood test, lipase
Facility: Clovis Community Medical Center
Billing Code: 83690 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83690
- Insurance Median: $7
- Cash Discount Price: $108
- vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Clovis Community Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$108
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: $108 (1567%)
Insurance Median: $7 (102%)
Cash: $108 (1567% 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
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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 Cross Blue Shield | $6 - $61 | 87% |
| Blue Shield | $6 - $54 | 87% |
| Cal Caloptima | $6 | 87% |
| Ccs Fresno | $6 | 87% |
| Ccs Kern | $6 | 87% |
| Ccs Kings | $6 | 87% |
| Ccs Madera/Sacramento | $6 | 87% |
| Ccs Mariposa | $6 | 87% |
| Ccs Merced | $6 | 87% |
| Ccs Stanislaus | $6 | 87% |
| Ccs Tulare | $6 | 87% |
| Chdp | $6 | 87% |
| Fresno County Funded Specialty Care | $6 | 87% |
| Generic Care Out Of County | $6 | 87% |
| Generic Ccs Other Counties | $6 | 87% |
| Genetically Handicapped Person | $6 | 87% |
| Gold Coast Medi-Cal | $6 | 87% |
| Medi-Cal Alameda Alliance For Health | $6 | 87% |
| Medi-Cal Blue Shield Promise Health | $6 | 87% |
| Medi-Cal California Health & Wellness Plan | $6 | 87% |
| Medi-Cal Cencal Health | $6 | 87% |
| Medi-Cal Community Health Group | $6 | 87% |
| Medi-Cal Contra Costa Health Plan | $6 | 87% |
| Medi-Cal Health Plan Of San Mateo | $6 | 87% |
| Medi-Cal Inland Empire Health | $6 | 87% |
| Medi-Cal Kern Family Health | $6 | 87% |
| Medi-Cal La Care Health | $6 | 87% |
| Medi-Cal Molina | $6 | 87% |
| Medi-Cal Partnership Health Plan Of Ca | $6 | 87% |
| San Francisco Health Plan Medi-Cal | $6 | 87% |
| Santa Clara Family Health Plan - Premier Health | $6 | 87% |
| Santa Clara Family Health Plan - Valley Health | $6 | 87% |
| Advantek Table Mountain Rancheria Tribal Member | $7 | 102% |
| Aetna | $7 - $48 | 102% |
| Blue Shield 65 Plus Hmo Ehs | $7 | 102% |
| Blue Shield 65 Plus Hmo First Choice | $7 | 102% |
| Blue Shield Hmo-Cvmp/Medpro | $7 | 102% |
| Blue Shield Promise - Imperial | $7 | 102% |
| Blue Shield Saint Agnes | $7 | 102% |
| Blue Shield Sante | $7 | 102% |
| Brand New Day | $7 | 102% |
| Bscphp - Dhmso | $7 | 102% |
| Bscphp - First Choice | $7 | 102% |
| Bscphp Hmo - First Choice | $7 | 102% |
| Care1St Hmo - Ehs | $7 | 102% |
| Cares Act Provider Relief Fund | $7 | 102% |
| Cigna | $7 - $59 | 102% |
| Gemcare Hmo | $7 | 102% |
| Generic | $7 | 102% |
| Generic Bscphp | $7 | 102% |
| Generic Victims Of Crime | $7 | 102% |
| Hartford Life Supplement | $7 | 102% |
| Healthnet Hmo - Cvmp/Medpro | $7 | 102% |
| Healthnet Hmo - Dhmso | $7 | 102% |
| Healthnet Hmo - La Salle | $7 | 102% |
| Healthnet Hmo - Sante | $7 | 102% |
| Healthnet Sante | $7 | 102% |
| Healthnet Sante - Sub Cap Dual Risk | $7 | 102% |
| Healthnet Sante Dual Risk | $7 | 102% |
| Humana | $7 - $81 | 102% |
| Kaiser | $7 | 102% |
| Medi-Cal Innovative Integrated Health | $7 | 102% |
| Medicare (plans) | $7 | 102% |
| Meritage Blue Shield 65 Plus | $7 | 102% |
| Meritage Brand New Day | $7 | 102% |
| Meritage Healthnet Hmo | $7 | 102% |
| Railroad Part A | $7 | 102% |
| Railroad Part A & B | $7 | 102% |
| Railroad Part B | $7 | 102% |
| Sante | $7 - $9 | 102% |
| Sante Sub Cap Healthnet Seniority | $7 | 102% |
| Sante Sub Cap-Blue Shield/Sante | $7 | 102% |
| Sante-Blue Shield/Sante | $7 | 102% |
| Sante-Healthnet Seniority | $7 | 102% |
| Sante-Sub Cap Ma Brand New Day | $7 | 102% |
| Scan Health Plan | $7 | 102% |
| Sequoia Pace - Peak Tpa | $7 | 102% |
| Todays Pyramid | $7 | 102% |
| UnitedHealthcare | $7 - $50 | 102% |
| Us Marshal | $7 | 102% |
| Victims Of Crime | $7 | 102% |
| Wellcare | $7 | 102% |
| Alignment Health Plan | $8 | 116% |
| Champion Health Plan Of California Ma | $8 | 116% |
| Imperial Health Plan Hmo | $8 | 116% |
| Innovative Integrated Health Community Plans Hmo | $8 | 116% |
| Correctcare Integrated Health | $9 | 131% |
| Health Plan Of San Joaquin | $9 | 131% |
| Sequoia Pace | $9 | 131% |
| Adventist -Mcl Calviva Sub Cap | $10 | 145% |
| Healthnet | $12 - $56 | 174% |
| Coalinga State Hospital | $14 | 203% |
| Naphcare Inc-Mendota | $15 | 218% |
| Central Valley Medical Providers | $24 - $67 | 348% |
| Community Care | $24 - $45 | 348% |
| Employer 90/40 | $38 | 552% |
| Central Ca Indian Health | $53 - $96 | 769% |
| Nx Health Network Ppo | $53 | 769% |
| Healthsmart | $65 - $77 | 943% |
| Coventry Health Care (First Health Network) | $72 | 1045% |
| Network By Design | $72 | 1045% |
| Generic Multiplan | $81 | 1176% |
| Phcs | $81 | 1176% |
| Well Path (Cfmg) | $105 - $192 | 1524% |