CMS Price Transparency Data

Blood test, lipase

Facility: Deaconess Illinois Crossroads

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $27
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 3.92x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Deaconess Illinois Crossroads is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 3.92x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$59

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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: $59 (856%)
Insurance Median: $27 (392%)
Cash: $59 (856% of Medicare)
Ins. Median: $27 (392% 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 392% of the Medicare baseline (a markup of 292%). 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
Blue Cross Blue Shield $4 - $128 58%
UnitedHealthcare $4 - $156 58%
Aetna $7 - $213 102%
Alliance Coal $7 102%
Care Improvement Plus $7 102%
Deaconess Onecare $7 - $143 102%
Encore Combined $7 - $164 102%
Encore Prime/Elite/Elite + $7 - $148 102%
Humana $7 - $210 102%
Meridian Health Plan $7 102%
Molina Healthcare Of Illinois $7 102%
Mytru Advantage $7 102%
Umwa $7 102%
Wellcare $7 102%
Alter-Net Medical Services, Inc. $11 - $94 160%
Noncontracted $11 160%
Self-Pay $16 - $59 232%
Cigna $18 - $105 261%
Hope Trust $20 - $94 290%
Prime Health Services $34 - $202 493%
Guardian Resources, Inc. $38 - $226 552%
Healthcare'S Finest Network (Hfn) $38 - $229 552%
Medicalcontrol Network Solutions $38 - $229 552%
National Provider Network $38 - $229 552%
Three Rivers Provider Network $39 - $234 566%
Beech Street $40 - $237 581%
Wexford Health Sources $121 - $189 1756%
Great West Healthcare Of Illinois $202 2932%
Multiplan - Primary Network - Phcs $212 3077%
Healthlink $216 - $229 3135%
Coventry Healthcare $227 3295%
First Health $227 3295%
Multiplan - Complementary Network $230 3338%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals