CMS Price Transparency Data

Blood test, lipase

Facility: Doctors Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $302
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Doctors Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $302. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$302

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: $302 (4383%)
Insurance Median: $7 (102%)
Cash: $302 (4383% 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 $6 - $167 87%
Blue Cross Blue Shield $6 - $8 87%
Humana $6 - $7 87%
Absolute Total Care $7 - $54 102%
Caresource $7 102%
Clover $7 102%
Coventry $7 102%
Devoted Health $7 102%
Eon Health $7 102%
Friday Health $7 102%
Georgia Assurance $7 102%
Health Net $7 102%
Healthspring $7 102%
Regency Hospice $7 102%
Shared Health $7 102%
St Joseph Hospice $7 102%
United $7 - $136 102%
Wellcare $7 - $60 102%
Health One Alliance $8 116%
Qtc Medical Group $8 116%
Ambetter / Centene $9 131%
Blue Choice $9 131%
Dept Of Community Health $10 145%
Amerigroup $43 624%
Nhc Advantage $57 827%
Pruitt Health $57 827%
Peach State $60 871%
Centurion $84 1219%
Americas 1St Choice $85 1234%
Medcost $151 - $193 2192%
Kaiser Permanente $165 2395%
Multiplan $181 - $272 2627%
Performax $206 2990%
First Health $227 3295%
Employer'S Health Network $242 3512%
Novanet $272 3948%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals