CMS Price Transparency Data

Blood test, lipase

Facility: Sarah Bush Lincoln Health Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $89
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 12.92x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Sarah Bush Lincoln Health Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 12.92x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $113 (1640%)
Insurance Median: $89 (1292%)
Cash: $113 (1640% of Medicare)
Ins. Median: $89 (1292% 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 1292% of the Medicare baseline (a markup of 1192%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 - $106 87%
Bc Comm Care Mcaid $6 87%
Hlth Alliance Mcaid $6 87%
Meridian Mcaid $6 87%
Molina Mcaid $6 87%
Bc Comm Mmai $7 102%
Bc Med Adv Ppo/Hmo $7 102%
Beacon Health Options Behav-All Plans $7 102%
Hlth Alliance Mcr Adv $7 102%
Humana $7 102%
Meridian Mmai-All Other Plans $7 102%
Molina Mmai-All Other Plans $7 102%
Tricare $7 102%
UnitedHealthcare $7 - $98 102%
Va Ccn-All Plans $7 102%
Wellcare Med Adv-All Plans $7 102%
Plain Church Mg-All Plans $43 - $47 624%
Mennonite-All Plans $49 - $53 711%
Eiu Athlete-All Other Plans $76 - $83 1103%
Healthscope-All Plans $80 - $87 1161%
Rural King-All Plans $80 - $87 1161%
Blue Cross Blue Shield $85 - $94 1234%
Consociate-All Plans $86 - $94 1248%
Hope Trust-All Plans $86 - $94 1248%
Eiu Student $89 - $97 1292%
Allied National-All Plans $91 - $99 1321%
Companion Life-All Plans $91 - $99 1321%
Hlth Alliance-All Other Plans $91 - $99 1321%
First Health-All Plans $92 - $100 1335%
Innovative Hlthware-All Plans $92 - $100 1335%
Healthlink Hmo $93 - $101 1350%
Healthlink Ppo - All Other Plans $93 - $101 1350%
Multiplan-All Plans $93 - $101 1350%
Cigna $97 - $106 1408%
Cphp-All Plans $97 - $106 1408%
Beech Street-All Plans $99 - $109 1437%
Hfn-All Plans $99 - $109 1437%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Health Center Drive P O Box 372, Mattoon, IL 61938
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals