CMS Price Transparency Data
Blood test, lipase
Facility: Greater El Monte Community Hospital
Billing Code: 83690 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83690
- Insurance Median: $10
- Cash Discount Price: $98
- vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Greater El Monte Community Hospital is $10. 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 1.45x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$98
Average discount available for prompt cash payment at this facility.
Insurance Median
$10
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: $10 (145%)
Cash: $98 (1422% of Medicare)
Ins. Median: $10 (145% 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 |
|---|---|---|
| Bella Vista Medical Group Ipa | $1 - $117 | 15% |
| Care 1St Medi Cal Hmo Cap Exceptional Care | $1 - $26 | 15% |
| Care First Health Plan | $1 - $26 | 15% |
| Clinica Medica Familiar | $1 - $130 | 15% |
| Employee Health Systems Medical Group | $1 - $52 | 15% |
| Global Care Medical Group Ipa | $1 - $117 | 15% |
| Ahmc Reciprocity Agreement | $2 - $78 | 29% |
| Ahmc Reciprocity Agreement Senior/Commercial | $2 - $78 | 29% |
| Allied Physicians Medical Group | $2 - $78 | 29% |
| Alta Med Health Services Med Grp | $2 - $65 | 29% |
| Good Samaritan Medical Practice Assoc | $2 - $156 | 29% |
| Lincoln Hospital Medical Center | $2 - $78 | 29% |
| Blue Cross Blue Shield | $3 - $130 | 44% |
| Molina Healthcare Of California | $3 - $101 | 44% |
| Blue Shield Of California | $4 - $130 | 58% |
| California Thoroughbred Horesmans Foundation | $4 - $130 | 58% |
| Care 1St Health Plan | $4 - $156 | 58% |
| Health Net Foundation | $4 - $169 | 58% |
| La Care Health Plan | $4 - $143 | 58% |
| Universal Care | $4 - $182 | 58% |
| Central Health Plan | $5 - $182 | 73% |
| Cost Containment Strategies | $5 - $169 | 73% |
| Health Net Inc | $5 - $184 | 73% |
| In Custody Police Dept | $5 - $169 | 73% |
| Interplan | $5 - $195 | 73% |
| UnitedHealthcare | $5 - $223 | 73% |
| Veterans Administration | $5 | 73% |
| Ahmc Healthcare Inc | $6 | 87% |
| Aids Health Foundation | $6 - $7 | 87% |
| Altamed Health Network | $6 - $7 | 87% |
| Avanti | $6 - $8 | 87% |
| Beverly Hospital | $6 - $8 | 87% |
| Brand New Day | $6 - $9 | 87% |
| Community Care Network | $6 - $208 | 87% |
| Emanate Health | $6 - $9 | 87% |
| Health Payors Organization | $6 - $234 | 87% |
| Healthy Way La | $6 | 87% |
| Multiplan | $6 - $221 | 87% |
| Other Non Contracted Medi-Cal Hmo | $6 | 87% |
| Pacificare Of California | $6 - $225 | 87% |
| State Of California | $6 | 87% |
| Ahmc Health Self-Insurance Epo | $7 - $9 | 102% |
| Alignment Health Plan | $7 | 102% |
| Allied Physicians | $7 - $10 | 102% |
| Apa/Aco Inc | $7 | 102% |
| Associated Hispanic Physicians | $7 | 102% |
| Athens Administrators | $7 - $8 | 102% |
| Caloptima | $7 - $9 | 102% |
| Champus Foundation | $7 - $8 | 102% |
| Cms | $7 | 102% |
| Commercial Non Contract | $7 - $260 | 102% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $7 | 102% |
| Easy Choice Health Plan | $7 | 102% |
| Hollywood Presbyterian Adv Med Mcal | $7 | 102% |
| Hollywood Presbyterian Medpoint Mcal | $7 | 102% |
| Inter Valley Health Plan | $7 | 102% |
| Intercomp | $7 | 102% |
| Knox-Keene Act | $7 - $9 | 102% |
| La Care Covered Direct | $7 | 102% |
| Medi-Cal Sub Acute | $7 - $260 | 102% |
| Molina Healthcare | $7 | 102% |
| Nuclear Medicine/Whmc | $7 - $260 | 102% |
| One Legacy | $7 - $260 | 102% |
| Other Non Contracted Senior Hmo | $7 | 102% |
| Other Non Contracted Work Comp | $7 - $8 | 102% |
| Pacific Alliance Medical Center Reciprocal Contract | $7 | 102% |
| Preferred Health Network | $7 - $8 | 102% |
| San Miguel Health Plan | $7 - $8 | 102% |
| Scan Health Plan | $7 | 102% |
| Self-Pay | $7 | 102% |
| Chinatown Service Center Pace | $8 | 116% |
| Cigna | $8 | 116% |
| In Custody-Ca Highway Patrol | $20 | 290% |