CMS Price Transparency Data

Blood test, lipase

Facility: Hazel Hawkins Memorial Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $272
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 39.48x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Hazel Hawkins Memorial Hospital is $272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 39.48x the Medicare baseline. Located in 911 Sunset Drive, Hollister, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$272

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%)
Insurance Median: $272 (3948%)
Ins. Median: $272 (3948% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 3948% of the Medicare baseline (a markup of 3848%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Tricare $7 102%
Triwest - All Plans $7 102%
Blue Cross Blue Shield $8 - $320 116%
Kaiser Mcal $8 116%
Medi-Cal $8 116%
Valley Hp Mcal $8 116%
Ccah Mcal - All Plans $13 189%
UnitedHealthcare $22 - $240 319%
Blue Shield Mcare $61 885%
Caremore Med Adv - All Plans $61 885%
Kaiser Med Adv $61 885%
Central Hp Med Adv $64 929%
Valley Hp Covered Ca $168 2438%
Valley Hp Preferred $168 2438%
Kaiser Comm - All Other Plans $189 2743%
Blue Shield Of Ca - All Other Plans $194 2816%
Valley Hp Classic - All Other Plans $202 2932%
Beech Street Corp Ppo - All Plans $272 3948%
Cigna $272 3948%
Corvel Ppo - All Plans $272 3948%
First Health Ppo - All Plans $272 3948%
Great West Ppo - All Plans $272 3948%
Nx Health Network - All Plans $272 3948%
Interplan Ppo - All Plans $282 4093%
Bce Emergis/Multi Ppo - All Plans $288 4180%
Healthnet Hmo $288 4180%
Healthnet Ppo - All Other Plans $288 4180%
Metracomp Wc Ppo - All Plans $288 4180%
One Hp Ppo - All Plans $288 4180%
Admar Ppo - All Plans $291 4224%
Pacific Hlth Alliance - All Plans $295 4282%
Ccn Ppo - All Other Plans $304 4412%
Choicecare Ppo/Hmo - All Plans $304 4412%
Coastal Hlthcre Ppo/Hmo - All Plans $304 4412%
Ccn (W/C) $320 4644%
Central Coast Ppo - All Other Plans $320 4644%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 911 Sunset Drive, Hollister, CA 95032
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals