CMS Price Transparency Data

Blood test, lipase

Facility: Adventist Health Tulare

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $9
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Adventist Health Tulare is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.
Cash / Self-Pay
$26

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: $26 (377%)
Insurance Median: $9 (131%)
Cash: $26 (377% 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

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 $2 - $70 29%
Blue Shield Epn $2 - $131 29%
Blue Shield-All Other Plans $3 - $181 44%
Cigna $3 - $192 44%
Western Growers - All Plans $3 - $190 44%
Hs Interplan-All Plans $4 - $277 58%
Network By Design-All Plans $4 - $269 58%
UnitedHealthcare $4 - $300 58%
Multiplan - All Plans $5 - $352 73%
Ccipa Medi-Cal - All Plans $6 - $10 87%
Dignity Mcal Op Only $6 - $9 87%
Healthnet Medi-Cal $6 - $10 87%
Independence Op Only - All Plans $6 - $9 87%
Medi-Cal $6 - $8 87%
Blue Shield Mcare $7 102%
Dignity Mcr Op Only - All Other Plans $7 102%
Fhcn Pace Mcr Adv - All Plans $7 102%
Medicare (plans) $7 102%
Prime Health - All Plans $7 102%
Tricare $7 102%
Cal Forensic Med Grp - All Plans $9 131%
Prison Hlthcre - All Plans $9 131%
Bright Health - All Plans $10 145%
Ah Employee Health Plan - All Plans $12 174%
Incentive Hlth - All Plans $12 174%
Healthnet Hmo/Ppo - All Other Plans $18 261%
Aetna $60 871%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 869 North Cherry Street, Tulare, CA 93274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals