CMS Price Transparency Data

Blood test, lipase

Facility: Saint Mary's Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $12
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Saint Mary's Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.74x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$28

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: $28 (406%)
Insurance Median: $12 (174%)
Cash: $28 (406% 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

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 $6 - $8 87%
Aetna $7 - $12 102%
Cca Senior Care Options $7 102%
Cigna $7 - $40 102%
Geha $7 102%
Harvard Pilgrim Healthcare $7 102%
Medicare (plans) $7 102%
UnitedHealthcare $7 - $50 102%
Bcn Domestic $8 116%
Blue Benefit Administrators of Massachusetts $8 116%
Blue Care Network $8 116%
Blue Distinction Transplant $8 116%
Blue Shield - Ca $8 116%
Blue Shield - Id (Regence) $8 116%
Blue Shield - Ny Highmark Northeastern $8 116%
Blue Shield - Ny Highmark Western $8 116%
Blue Shield - PA (Highmark) $8 116%
Blue Shield - Wa (Regence) $8 116%
Connecticare $8 116%
Health Choices $8 116%
Kaiser Domestic $8 116%
Pre-Employment $8 116%
Unicare $8 116%
Wc Domestic $8 116%
Wellpoint $8 116%
Centivo $9 131%
1199 National Benefit Fund $12 174%
Allied Benefit Systems $12 174%
Gravie Admin Services $12 174%
Hap $12 174%
Luminare Health $12 174%
Meritain $12 174%
Nippon Life Ins $12 174%
Webtpa $12 174%
Connecticut Dept of Correction $13 189%
Allegiance $14 203%
Claimdoc $14 203%
Diversified Administrators $14 203%
Health Partners $14 203%
Innovative Health Plan II $14 203%
Magnacare $14 203%
Carelon Behavioral Health $25 363%
Health New England $27 392%
Allied National Global Care $38 552%
Asrm - Reliance Standard Life Insurance $38 552%
Christian Care Ministry $38 552%
Dean Health $38 552%
Fallon Health $38 552%
Family Life Insurance Company $38 552%
Ghc Scw $38 552%
International Benefit Administrators $38 552%
Lifetime Benefit Solutions $38 552%
Manhattan Life $38 552%
Medi Share $38 552%
Multiplan $38 552%
Mvp $38 552%
PHCS $38 552%
Pai $38 552%
Pan-American Life $38 552%
Paramount HMO $38 552%
Trinity Health Share $38 552%
Prime Health Services $40 581%
Health Smart $42 610%
United Behavioral Health Eap $50 726%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals