CMS Price Transparency Data

Blood test, lipase

Facility: East Georgia Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $12
  • Cash Discount Price: $99
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at East Georgia Regional Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.74x the Medicare baseline. Located in 1499 Fair Road, Statesboro, GA.
Cash / Self-Pay
$99

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: $99 (1437%)
Insurance Median: $12 (174%)
Cash: $99 (1437% 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 - $115 87%
Node Champva $6 87%
Tricare $6 87%
Caresource Mcr Adv $7 102%
Health Net Va $7 102%
Humana $7 102%
Medicaid / KanCare $7 - $10 102%
Medicare (plans) $7 102%
Node Clover Health Mcr Adv $7 102%
Node Non Par Hospice Agree $7 102%
Node Va $7 102%
UnitedHealthcare $7 - $13 102%
Veterans Eval Services $7 102%
Node Us Dept Of Labor $9 131%
Peach State Hlth Plan Mcaid Ga $10 145%
Ambetter / Centene $12 174%
Caresource Exchange $12 174%
Ga Work Comp $12 174%
Prime Health Work Comp $12 174%
Three Rivers Wc $12 174%
Department Of Health $19 276%
Aetna $24 - $900 348%
Self Pay $86 - $112 1248%
Ibg $112 - $144 1626%
Industry Buying Group $118 1713%
Coventry $182 2642%
Three Rivers Provider Network $191 2772%
First Health $239 3469%
Prime Health Commercial $255 3701%
Novanet $271 3933%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1499 Fair Road, Statesboro, GA 30458
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals