CMS Price Transparency Data

Blood test, lipase

Facility: Presence Mercy 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 Presence Mercy 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 1325 N Highland Avenue, Aurora, IL.
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
Cigna $4 - $29 58%
Aetna $6 - $7 87%
Blue Cross Blue Shield $6 - $10 87%
Harmony Health Plan $6 - $7 87%
Humana $6 - $8 87%
Medicaid / KanCare $6 87%
Meridian $6 - $7 87%
Molina $6 - $10 87%
Advocate Helath Partners $7 - $8 102%
Celtic (Wellcare) $7 102%
Clear Spring Health Of Illinois $7 102%
Devoted Health $7 102%
Essential Health Partners $7 - $8 102%
Health Alliance Medical Plan $7 102%
Longevity Health Plan Of Illinois $7 102%
Medicare (plans) $7 102%
Provider Partners Health Plan (Pphp) $7 102%
Ravenswood Physicians Associates Ipa $7 102%
Resurrection Physicians Provider Group Ipa $7 - $8 102%
Self-Pay $7 102%
Tricare $7 102%
United Behavioral Health $7 102%
UnitedHealthcare $7 - $9 102%
Zing Health Provider Network $7 102%
Access Community Health Network $8 116%
Imagine Health Network, Inc. $10 145%
Ambetter / Centene $11 160%
Clifton Health Systems $11 160%
Hfn Inc (Healthcare Finest Network) $99 1437%
Corvel $101 1466%
Coventry $101 1466%
Workers Comp $101 1466%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1325 N Highland Avenue, Aurora, IL 60506
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals