CMS Price Transparency Data

Blood test, lipase

Facility: Methodist Hospitals Inc

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $11
  • Cash Discount Price: $192
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Methodist Hospitals Inc is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.60x the Medicare baseline. Located in 600 Grant St, Gary, IN.
Cash / Self-Pay
$192

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $192 (2787%)
Insurance Median: $11 (160%)
Cash: $192 (2787% of Medicare)
Ins. Median: $11 (160% 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
Aetna $7 - $203 102%
Blue Cross Blue Shield $7 - $236 102%
Caresource $7 102%
Humana $7 102%
Managed Health Services $7 102%
Medicaid / KanCare $7 102%
Medicare (plans) $7 102%
United Heathcare $7 102%
UnitedHealthcare $7 - $10 102%
Zing $7 102%
Caresource Maketplace $11 160%
Ambetter / Centene $14 203%
Magnacare $18 261%
Physicians Health Plan Of Northern Indiana $21 305%
Cigna $105 - $114 1524%
Encore $164 - $244 2380%
Phcs $186 2700%
Siho $192 2787%
Sagamore $197 2859%
Multiplan $200 2903%
Hfn $214 - $233 3106%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Grant St, Gary, IN 46402
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals