CMS Price Transparency Data

Blood test, lipase

Facility: Ferrell Hospital Community Foundations

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $28
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 4.06x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Ferrell Hospital Community Foundations is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 4.06x the Medicare baseline. Located in 1201 Pine Street, Eldorado, IL.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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: $58 (842%)
Insurance Median: $28 (406%)
Cash: $58 (842% of Medicare)
Ins. Median: $28 (406% 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 406% of the Medicare baseline (a markup of 306%). 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
Cigna $3 - $62 44%
Blue Cross Blue Shield $4 - $62 58%
Aetna $8 - $62 116%
Meridian Health Plan $13 - $28 189%
Molina Healthcare Of Illinois $13 - $28 189%
Health Alliance $28 - $62 406%
Humana $28 406%
UnitedHealthcare $28 - $65 406%
Wellcare $28 406%
Healthlink $62 - $65 900%
Healthsmart (Ihg) $62 900%
Hope Trust $62 900%
Multiplan/Phcs $62 900%
Zelis (Hfn) $62 900%
Sagamore $63 914%
Corvel $69 1001%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1201 Pine Street, Eldorado, IL 62930
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals