CMS Price Transparency Data

Blood test, lipase

Facility: Hammond Henry Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $112
Cash Discount Price: $136
vs. Medicare Baseline: 16.26x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Hammond Henry Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 16.26x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$136

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $136 (1974%)

Insurance Median: $112 (1626%)

Cash: $136 (1974% of Medicare)

Ins. Median: $112 (1626% 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 1626% of the Medicare baseline (a markup of 1526%). 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
Aetna	$10 - $113	145%
Blue Cross Blue Shield	$10 - $91	145%
Meridian Health Plan-All Plans	$10	145%
Quad City Community Hc-All Plans	$10	145%
Geneseo Good Samaritan Village Op Only-All Plans	$33	479%
Tricare	$39	566%
Health Alliance Mcare Adv	$44	639%
Humana	$44 - $136	639%
UnitedHealthcare	$44 - $112	639%
Wellmark Of Ia-All Plans	$76	1103%
Springfield Armory-All Plans	$98	1422%
Ambetter / Centene	$106	1538%
Health Alliance-All Other Plans	$113	1640%
Multiplan Integrated Hp	$113	1640%
Cigna	$116	1684%
Multiplan Pponext	$121	1756%
Osf Direct Access Network-All Plans	$121	1756%
Multiplan-All Other Plans	$128	1858%
Corvel-All Plans	$136	1974%
Healthsmart Adult-All Other Plans	$136	1974%
Healthsmart Pediatric	$136	1974%
Hfn-All Plans	$136	1974%
Multiplan Beech Street	$136	1974%
Multiplan Phcs Adult	$136	1974%
Multiplan Phcs Pediatric	$136	1974%
Usa Mco-All Plans	$136	1974%

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 $136.
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 Hammond Henry 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.