CMS Price Transparency Data

Blood test, lipase

Facility: Jeff Davis Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $137
Cash Discount Price: $63
vs. Medicare Baseline: 19.88x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Jeff Davis Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 19.88x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $63 (914%)

Insurance Median: $137 (1988%)

Cash: $63 (914% of Medicare)

Ins. Median: $137 (1988% 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 1988% of the Medicare baseline (a markup of 1888%). 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	$7 - $90	102%
Care_Improvement_Plus	$7	102%
Humana	$7 - $153	102%
Medicare (plans)	$7	102%
Medicaid / KanCare	$9 - $36	131%
Peach_State	$36	522%
Wellcare	$36	522%
Coventry_Hmo	$126	1829%
Coventry_Pos	$126	1829%
Uhc_Hmo	$135	1959%
Uhc_Indemnity	$135	1959%
Uhc_Ppo	$135	1959%
Coventry_Ppo	$139	2017%
Beech_Street	$144	2090%
Care_Source	$144	2090%
Cigna	$144	2090%
One_Health_Ppo	$144	2090%
Choicecare	$153	2221%
Community_Care_Network	$153	2221%
Georgia_Hospital_Network	$153	2221%
Industry_Buying_Group	$153	2221%
Novanet	$153	2221%
Principal_Health_Care_Of_Georgia	$153	2221%
Three_Rivers_Provider_Network	$153	2221%
Usa_Managed_Care	$153	2221%
Memorial_Health_Partners	$162	2351%
Tricare	$167	2424%
Multiplan	$171	2482%

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 $63.
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 Jeff Davis Hospital 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.