CMS Price Transparency Data
Blood test, lipase
Facility: Menifee Global Medical Center
Billing Code: 83690 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83690
- Insurance Median: $8
- Cash Discount Price: $208
- vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Menifee Global Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$208
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: $208 (3019%)
Insurance Median: $8 (116%)
Cash: $208 (3019% 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 Cross Blue Shield | $6 | 87% |
| Ic | $6 - $208 | 87% |
| Kaiser Medi-Cal | $6 | 87% |
| Tricare | $6 - $7 | 87% |
| Aetna | $7 - $132 | 102% |
| Altamed Comm Hmo (Ancillary) | $7 - $208 | 102% |
| Altamed Health Services Senior | $7 | 102% |
| Altamed Sr/Pace | $7 | 102% |
| Blue Shield Senior | $7 | 102% |
| Central Health Plan Senior | $7 | 102% |
| Clever Care Health Plan Sr | $7 | 102% |
| Coventry | $7 - $8 | 102% |
| For Your Benefit Senior | $7 | 102% |
| Guidant Health Plan Senior | $7 | 102% |
| Health Net Medi-Cal | $7 | 102% |
| Health Net Senior | $7 | 102% |
| Hpn Mcal | $7 | 102% |
| Hpn Senior | $7 | 102% |
| Humana | $7 | 102% |
| Imperial Health Plan Of Ca | $7 | 102% |
| Kaiser Senior | $7 | 102% |
| Lasalle Medical Assoc (Ancillary) Commercial | $7 | 102% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $7 | 102% |
| Lasalle Medical Assoc (Ancillary) Senior | $7 | 102% |
| Managed Health Network Sr | $7 | 102% |
| Medicare (plans) | $7 | 102% |
| Molina Medi-Cal | $7 | 102% |
| Neighborhood Healthcare Pace | $7 | 102% |
| Point Comfort Underwriters | $7 | 102% |
| Prime Health Services Wcomp | $7 | 102% |
| Primecare Senior | $7 | 102% |
| Prospect Health Plan Mcal Hmo | $7 | 102% |
| Prospect Health Plan Sr Hmo | $7 | 102% |
| Scan Senior | $7 | 102% |
| Self Pay/Ab774/Charity Discount | $7 | 102% |
| Sr Capitation | $7 | 102% |
| UnitedHealthcare | $7 - $8 | 102% |
| Veterans Administration | $7 | 102% |
| Align Senior Care | $8 | 116% |
| Prime Health Services Senior | $8 | 116% |
| Three Rivers Wcomp | $8 | 116% |
| Welbehealth Sr/Pace | $8 | 116% |
| Workers Comp Non-Contracted | $8 | 116% |
| Iehp Covered Ca | $9 | 131% |
| Iehp Medi-Cal | $9 | 131% |
| Molina Covered Ca | $9 | 131% |
| Prospect Health Plan Comm Hmo | $9 | 131% |
| Altamed Mcal Hmo | $10 | 145% |
| Altamed Mcal/Pace | $10 | 145% |
| Choice Physicians Network | $10 | 145% |
| Health Net Comm | $10 | 145% |
| Health Net Enhanced Ppo | $10 | 145% |
| Hpn Commercial/Covered Ca | $10 | 145% |
| Three Rivers Network | $12 | 174% |
| Velocity | $12 - $94 | 174% |
| Cigna | $14 - $166 | 203% |
| Blue Shield Epn | $19 | 276% |
| Blue Shield Commercial | $23 | 334% |
| First Health Commercial | $109 | 1582% |
| Primecare Commercial | $135 | 1959% |
| Multiplan Ppo | $146 | 2119% |
| Multiplan Wcomp | $146 | 2119% |
| Pnoa-Provider Network Of America | $166 | 2409% |
| Prime Health Services Commercial | $166 | 2409% |
| Ava Hospice | $208 | 3019% |
| Kaiser Commercial | $208 | 3019% |
| Living Waters Hospice | $208 | 3019% |
| Managed Health Network | $208 | 3019% |
| Other Insurance Loa | $208 | 3019% |
| Pacific Valley Hospice | $208 | 3019% |
| Private Pay | $208 | 3019% |
| Silverado Hospice | $208 | 3019% |
| Vna Hospice | $208 | 3019% |