CMS Price Transparency Data

Blood test, lipase

Facility: Shriners Hospitals for Children Northern Calif

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Shriners Hospitals for Children Northern Calif is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 2425 Stockton Boulevard, Sacramento, CA.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $65 (943%)
Insurance Median: $8 (116%)
Cash: $65 (943% of Medicare)
Ins. Median: $8 (116% 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
Aetna $3 - $9 44%
Blue Cross Blue Shield $3 - $10 44%
Amerigroup Nv $4 58%
Ambetter / Centene $5 - $13 73%
Gateway Health Plan $5 73%
Health Plan Of Nv $5 73%
Amerigroup Tx $6 87%
Soonercare $6 87%
Cigna $7 102%
Coventry Cares Ky $7 102%
Humana $7 102%
Medicaid / KanCare $7 102%
Molina Healthcare Of Ky $7 102%
Molina Healthcare Of Ms $7 102%
UnitedHealthcare $7 - $10 102%
Amerihealth Caritas Nc $8 - $13 116%
Amerihealth Caritas Sc $8 116%
Caresource Of Oh $8 116%
Providence Health Plan $8 116%
Caresource Of Ga $9 131%
Central California Alliance For Health $9 131%
Health Plan Of San Joaquin $9 131%
Healthchoice Of Oklahoma $9 131%
Kaiser Permanente $9 - $100 131%
Molina Healthcare Of Ca $9 131%
Partnership Healthplan Of Ca $9 131%
Wellcare Of Ga $9 131%
Sana Benefits $10 145%
Dignity Health $536 7779%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2425 Stockton Boulevard, Sacramento, CA 95817
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens