CMS Price Transparency Data

Blood test, lipase

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $139
Cash Discount Price: $248
vs. Medicare Baseline: 20.17x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Atrium Health Floyd Polk Medical Center is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $248. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 20.17x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.

Cash / Self-Pay

$248

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $248 (3599%)

Insurance Median: $139 (2017%)

Cash: $248 (3599% of Medicare)

Ins. Median: $139 (2017% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2017% of the Medicare baseline (a markup of 1917%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$9 - $370	131%
Peach State Health Plan	$9	131%
Cigna	$18 - $298	261%
Amerigroup	$67	972%
Caresource	$68 - $149	987%
Awc Networks	$97	1408%
Oscar Health Plan	$97 - $174	1408%
Aetna	$99 - $337	1437%
Georgia Assurance	$99	1437%
Humana	$99 - $322	1437%
UnitedHealthcare	$99 - $372	1437%
Wellcare	$99	1437%
Alliant Health Plans	$124 - $198	1800%
Clover	$129	1872%
Ambetter / Centene	$149	2163%
Multiplan	$347	5036%
Private Health Care Systems	$422	6125%
Beech Street	$446	6473%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $248.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atrium Health Floyd Polk Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.