CMS Price Transparency Data
Blood test, lipase
Facility: Garfield Medical Center
Billing Code: 83690 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83690
- Insurance Median: $12
- Cash Discount Price: $164
- vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Garfield Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.74x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$164
Average discount available for prompt cash payment at this facility.
Insurance Median
$12
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: $164 (2380%)
Insurance Median: $12 (174%)
Cash: $164 (2380% of Medicare)
Ins. Median: $12 (174% 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 |
|---|---|---|
| Access Ipa Ancillary | $1 - $96 | 15% |
| Associated Hispanic Phys Of So Cal | $1 - $64 | 15% |
| Care First Health Plan | $1 - $32 | 15% |
| Pacific Independent Physician Association | $1 - $51 | 15% |
| UnitedHealthcare | $1 - $193 | 15% |
| Employee Health Systems Mg | $2 - $64 | 29% |
| Ahmc Healthcare Inc | $4 - $96 | 58% |
| Allied Physicians Risk Pool | $4 - $112 | 58% |
| Allied Physicians Risk Pool Agreement | $4 - $112 | 58% |
| Family Health Alliance | $4 - $96 | 58% |
| Healthnet Medi Cal Cap | $4 - $112 | 58% |
| Pipa Risk Pool Agreement | $4 - $112 | 58% |
| Central Health Plan | $5 - $128 | 73% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $5 - $128 | 73% |
| Health Net Foundation M Cal (Family Health Alliance) | $5 - $128 | 73% |
| Molina Medical Group | $5 - $125 | 73% |
| Phys Assoc Of San Gab Valley | $5 - $128 | 73% |
| Veterans Administration | $5 | 73% |
| Allied Physicians | $6 - $10 | 87% |
| Allied Physicians Med Grp | $6 - $160 | 87% |
| Beverly Hospital | $6 - $8 | 87% |
| Blue Cross Blue Shield | $6 - $160 | 87% |
| Blue Shield Of California | $6 - $160 | 87% |
| Brand New Day | $6 - $9 | 87% |
| Care 1St Mcl/Gar Cap Reciprocity | $6 | 87% |
| Community Health Plan | $6 | 87% |
| Emanate Health | $6 - $9 | 87% |
| Health Net | $6 - $270 | 87% |
| Healthy Way La | $6 | 87% |
| La Care Health Plan | $6 - $177 | 87% |
| Other Non-Contracting Medi-Cal | $6 | 87% |
| Physicians Healthways Medi-Cal | $6 - $321 | 87% |
| Advantage Care Ipa | $7 - $321 | 102% |
| Aetna | $7 - $234 | 102% |
| Aids Health Foundation | $7 | 102% |
| Alhambra Hospital | $7 - $193 | 102% |
| Alignment Health Plan | $7 | 102% |
| Apa Aco Inc | $7 | 102% |
| Avanti | $7 - $8 | 102% |
| Blue Shield | $7 - $97 | 102% |
| Care 1St Health Plan | $7 - $193 | 102% |
| Cms | $7 | 102% |
| Cv-19 Hrsa Uninsured Testing And Tx | $7 | 102% |
| Easy Choice Health Plan | $7 | 102% |
| First Health Network | $7 - $225 | 102% |
| Health Net Comm/Hmo | $7 - $177 | 102% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $7 | 102% |
| Hollywood Presbyterian Medpoint Mcal | $7 | 102% |
| Humana | $7 | 102% |
| Inter Valley Health Plan | $7 | 102% |
| Interplan | $7 - $241 | 102% |
| La Care Covered Direct | $7 | 102% |
| Molina Healthcare | $7 | 102% |
| Molina Healthcare Of California | $7 - $9 | 102% |
| Non-Contract Medi-Care | $7 | 102% |
| Pacific Alliance Medical Center Comm/Sr | $7 | 102% |
| Physicians Healthways Medical Corporation | $7 - $321 | 102% |
| Scan Health Plan Sr Hmo | $7 | 102% |
| Self-Pay | $7 | 102% |
| State Of California Medi-Cal | $7 | 102% |
| Ucla Impact Dept Of Uncology | $7 | 102% |
| Athens Administrators | $8 | 116% |
| Chinatown Service Center Pace | $8 | 116% |
| Cigna | $8 | 116% |
| Multiplan | $8 - $273 | 116% |
| National Disaster Medical System | $8 | 116% |
| One Health Plan | $8 - $225 | 116% |
| Other Non-Contracted Workers Compensation | $8 | 116% |
| Physician Healthways Medical Corporation | $8 | 116% |
| Preferred Health Network | $8 | 116% |
| San Miguel Health Plan | $8 | 116% |
| Ahmc Health Epo | $9 | 131% |
| Fmc Los Angeles Co Epo | $9 - $241 | 131% |
| Knox-Keene Act | $9 | 131% |
| Americas Health Plan | $10 - $273 | 145% |
| Caloptima Direct | $10 | 145% |
| Corvel Corporation | $10 - $257 | 145% |
| Health Net Inc | $11 | 160% |
| Health Payors Organization | $11 - $289 | 160% |
| East La Reg Ctr | $12 - $321 | 174% |
| Non Contract Commercial | $12 - $321 | 174% |
| One Legacy | $12 - $321 | 174% |
| Private Pay | $12 - $321 | 174% |
| Pacificare Of California Inc | $14 | 203% |
| Pacificare Ppo | $14 | 203% |