CMS Price Transparency Data

Blood test, lipase

Facility: Tift Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $11
  • Cash Discount Price: $55
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Tift Regional Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.60x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.
Cash / Self-Pay
$55

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $55 (798%)
Insurance Median: $11 (160%)
Cash: $55 (798% of Medicare)
Ins. Median: $11 (160% 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 $3 - $121 44%
Humana $3 - $60 44%
Self Pay 50 $3 - $60 44%
Peach State Health Plan $5 73%
Va Contract $5 73%
Aetna $6 - $105 87%
Cigna $6 - $110 87%
Misc Commercial Insurance Plans $6 - $109 87%
Self Pay $6 - $109 87%
Tricare $6 87%
UnitedHealthcare $6 - $102 87%
Caresource Marketplace Exchange $7 - $10 102%
Clover Health $7 102%
Health One Alliance $7 - $10 102%
Hospice $7 102%
Medicare (plans) $7 102%
Misc Non Contracted Commercial Plans $7 - $121 102%
Pruitt Health Premier $7 102%
Wellcare $7 - $10 102%
Zelis Network Solutions $7 - $14 102%
Amerigroup $10 145%
Medicaid / KanCare $10 145%
Peachstate $10 145%
Caresource $11 160%
Ga Workers Comp $12 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 E 18Th Street, Tifton, GA 31794
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals