CMS Price Transparency Data
Blood test, lipase
Facility: Whittier Hospital Medical Center
Billing Code: 83690 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83690
- Insurance Median: $9
- Cash Discount Price: $11
- vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Whittier Hospital Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$11
Average discount available for prompt cash payment at this facility.
Insurance Median
$9
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: $11 (160%)
Insurance Median: $9 (131%)
Cash: $11 (160% of Medicare)
Ins. Median: $9 (131% 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 |
|---|---|---|
| Physician Healthways | $2 - $20 | 29% |
| Physicians Healthways Medical Corporation | $4 - $50 | 58% |
| Ahmc Reciprocity | $5 - $60 | 73% |
| Ahmc Reciprocity Agreement Senior/Commercial | $5 - $60 | 73% |
| Pacific Independent Physician Association | $5 - $60 | 73% |
| Veterans Administration | $5 | 73% |
| Wear And Wood | $5 - $80 | 73% |
| Ahmc Medi-Cal Reciprocity Agreement | $6 | 87% |
| Aids Healthcare Foundation | $6 - $7 | 87% |
| Allied Physicians | $6 - $10 | 87% |
| Alta Med Health Network | $6 - $7 | 87% |
| Altamed Health Services Corporation | $6 | 87% |
| Beverly Hospital | $6 - $8 | 87% |
| Blue Cross Blue Shield | $6 - $100 | 87% |
| Brand New Day | $6 - $8 | 87% |
| Edward Medical Group | $6 - $70 | 87% |
| Emanate Health | $6 - $8 | 87% |
| Health Net | $6 - $120 | 87% |
| Healthy Way La | $6 | 87% |
| Heritage Provider Network | $6 - $9 | 87% |
| Kaiser Foundation | $6 - $140 | 87% |
| La Care Healthy Families/Healthy Kids | $6 | 87% |
| Non Contracted Medi-Cal | $6 | 87% |
| Prospect Health Plan | $6 - $11 | 87% |
| Synermed | $6 - $7 | 87% |
| UnitedHealthcare | $6 - $174 | 87% |
| Aetna | $7 - $146 | 102% |
| Alignment Health Plan | $7 | 102% |
| Alta Los Angeles Hospitals Inc | $7 | 102% |
| Apa/Aco Inc | $7 | 102% |
| Avanti | $7 - $8 | 102% |
| Blue Shield Of California | $7 - $100 | 102% |
| Caloptima | $7 - $9 | 102% |
| Care First Health Plan | $7 | 102% |
| Caremore | $7 | 102% |
| Central Health Plan | $7 | 102% |
| Central Health Plan Of California | $7 - $80 | 102% |
| County Of Los Angeles Dept Of Health Services | $7 | 102% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $7 | 102% |
| Easy Choice Health Plan | $7 | 102% |
| Hollywood Presbyterian Adv Med Mcal | $7 | 102% |
| Hollywood Presbyterian Medpoint Mcal | $7 | 102% |
| Humana | $7 | 102% |
| La Care Covered Direct | $7 | 102% |
| La Care Health Plan | $7 - $110 | 102% |
| Medi Caid/ Medi Cal | $7 | 102% |
| Medicare (plans) | $7 | 102% |
| Molina Healthcare Of California | $7 | 102% |
| Molina Medical Center | $7 - $78 | 102% |
| Pacific Alliance Medical Center | $7 | 102% |
| Pacificare Of California | $7 | 102% |
| Private Pay | $7 | 102% |
| Scan Health Plan | $7 | 102% |
| Self-Pay | $7 | 102% |
| Allied Physicians Ipa | $8 - $90 | 116% |
| Applecare Medical Group | $8 | 116% |
| Athens Administrators Ahmc Work Comp | $8 | 116% |
| Capnet | $8 | 116% |
| Chinatown Service Center Pace | $8 | 116% |
| Cigna | $8 | 116% |
| Fmc Los Angeles County | $8 - $150 | 116% |
| Interplan Health Group | $8 | 116% |
| Misc 1 | $8 | 116% |
| Multiplan Wc | $8 | 116% |
| San Miguel Health Plan | $8 | 116% |
| Tricare | $8 | 116% |
| Ahmc Health | $9 | 131% |
| Knox-Keene Act | $9 | 131% |
| Monarch Healthplan | $9 | 131% |
| Prospect Medical | $10 - $110 | 145% |
| Care 1St Health Plan | $11 - $120 | 160% |
| New Horizon Medical Group Inc | $11 - $120 | 160% |
| Cost Containment | $12 - $130 | 174% |
| Davita Healthcare Partners | $12 - $130 | 174% |
| Health Net Inc | $12 - $130 | 174% |
| Healthnet | $12 - $139 | 174% |
| Universal Care | $12 - $140 | 174% |
| Asi/Flex | $13 - $140 | 189% |
| Us Comp Care | $13 - $140 | 189% |
| Value Healthplan Of California | $13 - $140 | 189% |
| Community Care Network | $14 - $150 | 203% |
| Coventry Health Care | $14 - $150 | 203% |
| Coventry Health Care National Network | $14 - $150 | 203% |
| Interplan Corporation | $14 - $150 | 203% |
| Managed Care Administrators | $14 - $150 | 203% |
| Prohealth | $14 - $150 | 203% |
| Multiplan | $15 - $170 | 218% |
| Commercial Non Contract | $18 - $200 | 261% |
| Medi-Cal Sub Acute | $18 - $200 | 261% |
| One Legacy | $18 - $200 | 261% |
| Great-West Healthcare Of California | $2,500 | 36284% |