CMS Price Transparency Data

Blood test, lipase

Facility: Southern Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Southern Regional Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $6 (87%)
Insurance Median: $7 (102%)
Cash: $6 (87% of Medicare)
Ins. Median: $7 (102% 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 $5 - $7 73%
Americas Choice Provider Network $7 102%
Blue Cross Blue Shield $7 102%
Caresource $7 - $10 102%
Cigna $7 - $12 102%
Clear Spring Health Plan $7 102%
Corvel $7 102%
Devoted Health $7 102%
Georgia Workers’ Compensation $7 102%
Humana $7 - $14 102%
Medicare (plans) $7 102%
Multiplan $7 102%
Novanet $7 102%
Peach State $7 - $10 102%
Prime Health Services $7 102%
Provider Select $7 102%
Riverwood Behavioral Health $7 - $9 102%
Sonder Health Plan $7 102%
Three Rivers $7 102%
Tricare $7 102%
UnitedHealthcare $7 102%
Wellcare $7 - $10 102%
Oscar Health Plan $9 131%
Amerihealth Caritas $10 145%
Centurion $10 145%
Employer Direct Healthcare $10 145%
Medicaid / KanCare $10 145%
Naphcare $11 160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals