CMS Price Transparency Data

Blood test, lipase

Facility: St Joseph Health System, LLC

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at St Joseph Health System, LLC is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $27 (392%)
Insurance Median: $7 (102%)
Cash: $27 (392% of Medicare)
Ins. Median: $7 (102% 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
Amish Aid $1 - $68 15%
Self Pay $1 - $156 15%
Blue Cross Blue Shield $2 - $103 29%
Cigna $2 - $284 29%
Lutheran Network $2 - $156 29%
Lutheran Preferred $2 - $170 29%
Php $2 - $113 29%
Three Rivers $2 - $128 29%
Aetna $3 - $193 44%
Encore Ppo $3 - $256 44%
Sagamore $3 - $154 44%
UnitedHealthcare $3 - $141 44%
Align Network $4 - $227 58%
First Health $4 - $213 58%
Frontpath Health Coalition $4 - $227 58%
Multiplan $4 - $222 58%
Prime Health Services $4 - $213 58%
Tricare $4 - $6 58%
Advantage Health Solutions $5 - $236 73%
Allied Benefit Systems $5 - $256 73%
Department Of Veterans Affairs $5 - $7 73%
Humana $5 - $7 73%
Managed Health Services $5 - $14 73%
Medical Mutual Of Ohio $5 - $284 73%
Medicare (plans) $5 - $7 73%
Node Devoted Health Mcr Adv $5 - $7 73%
Node Hospice Non Par Agree $5 - $7 73%
Node Va $5 - $7 73%
Parkview Healthplan Services $5 - $284 73%
Php Freedom Network $5 - $12 73%
Value Options $5 - $284 73%
Veterans Eval Services $5 - $7 73%
In Dept Of Correction $6 - $7 87%
Node Pphp Mcr Adv $6 - $7 87%
Caresource $7 102%
Medicaid / KanCare $7 102%
Us Department Of Labor $7 - $9 102%
Lutheran Advanced Network $8 - $10 116%
Encore Work Comp In $10 - $12 145%
Work Comp $11 - $14 160%
Encore Kba Epo $13 - $17 189%
Encore Kba Ppo $16 - $21 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals