CMS Price Transparency Data

Blood test, lipase

Facility: Buena Vista Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $13
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Buena Vista Regional Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.89x the Medicare baseline. Located in 1525 West 5Th Street, Storm Lake, IA.
Cash / Self-Pay
$11

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $11 (160%)
Insurance Median: $13 (189%)
Cash: $11 (160% of Medicare)
Ins. Median: $13 (189% 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
Champus $7 - $8 102%
Champva $7 - $8 102%
Health Partners $7 - $15 102%
Iowa Health Advantage $7 - $15 102%
Medicare (plans) $7 - $15 102%
UnitedHealthcare $7 - $15 102%
American Postal Workers $10 - $12 145%
Avera $11 - $13 160%
Cigna $12 - $14 174%
Aetna $13 - $15 189%
Ambetter / Centene $13 - $15 189%
Blue Cross Blue Shield $13 - $15 189%
First Administrators $13 - $15 189%
Golden Rule $13 - $15 189%
Great West $13 - $15 189%
Healthscope $13 - $15 189%
Humana $13 - $15 189%
Medical Associates $13 - $15 189%
Meritain $13 - $15 189%
Midlands Choice $13 - $15 189%
Wellcare $13 - $15 189%
Wellpoint $13 - $15 189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1525 West 5Th Street, Storm Lake, IA 50588
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals