CMS Price Transparency Data

Blood test, lipase

Facility: Bluffton Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Bluffton Regional Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $7 (102%)
Insurance Median: $10 (145%)
Cash: $7 (102% of Medicare)
Ins. Median: $10 (145% 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 $2 - $72 29%
Self Pay $2 - $166 29%
Blue Cross Blue Shield $3 - $11 44%
Cigna $3 - $107 44%
Lutheran Preferred Network $3 - $242 44%
Aetna $4 - $135 58%
Lutheran Trma $4 - $136 58%
Php Management Systems $4 - $117 58%
Encore Ppo $5 - $148 73%
Physicians Health Plan $5 - $9 73%
Sagamore Sebt $5 - $154 73%
UnitedHealthcare $5 - $149 73%
Consumer Life $6 - $187 87%
Sagamore Health Newtork Inc $6 - $162 87%
Tricare $6 87%
Ahg Dana Employees $7 - $196 102%
Align Networks $7 - $211 102%
Caresource $7 102%
County Jail Health Care $7 102%
Department Of Veterans Affairs $7 102%
Humana $7 102%
In Dept Of Correction $7 102%
Medicaid / KanCare $7 102%
Medicare (plans) $7 102%
Mhs $7 102%
Mhs In Hip $7 102%
Node Caresource Mcr Adv $7 102%
Node Devoted Health Mcr Adv $7 102%
Node Iu Health Mcr Adv $7 102%
Node Mhs Mcr Adv $7 102%
Node Non Par Hospice Agree $7 102%
Node Pphp Mcr Adv $7 102%
Node Va $7 102%
Northeast Hospice $7 - $211 102%
Php $7 - $10 102%
Php Freedom Network $7 - $12 102%
Veterans Eval Services $7 102%
Multiplan $8 - $242 116%
Prime Health Services $8 - $226 116%
Private Healthcare Systems Inc $8 - $226 116%
Advantage 360 $9 - $251 131%
Allied Benefit Systems $9 - $272 131%
Cardinal Health Alliance $9 - $272 131%
Community Health Alliance $9 - $257 131%
Encore Health Network $9 - $272 131%
First Health $9 - $260 131%
Ppom $9 - $272 131%
Us Department Of Labor $9 131%
Lutheran Advanced Network $10 145%
Lutheran Three Rivers Preferred Plus 150 $10 145%
Encore Work Comp In $12 174%
Lutheran Three Rivers Preferred Plus 175 $12 174%
Lutheran Northwest Health Preferred $14 203%
Managed Health Services Exchange $14 203%
Workers Compensation $14 203%
Encore Kba Epo $17 247%
Encore Kba Ppo $21 305%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals