CMS Price Transparency Data

Blood test, lipase

Facility: Northwest Health - Starke

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Northwest Health - Starke is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 102 E Culver Rd, Knox, IN.
Cash / Self-Pay
$21

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: $21 (305%)
Insurance Median: $7 (102%)
Cash: $21 (305% 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
Lutheran $2 - $38 29%
Self Pay $2 - $78 29%
Alpha Baking $3 - $64 44%
Blue Cross Blue Shield $3 - $11 44%
Medpartners $3 - $47 44%
Physicians Health Plan $3 - $59 44%
Encore $5 - $123 73%
Php $5 - $85 73%
UnitedHealthcare $5 - $100 73%
Aetna $6 - $123 87%
Cigna $6 - $118 87%
Multiplan Inc $6 - $128 87%
Tricare $6 87%
Caresource $7 102%
Community Health Alliance $7 - $128 102%
Coventry First Health $7 - $123 102%
Humana $7 102%
In Dept Of Correction $7 102%
Lutheran Network $7 - $125 102%
Managed Health Services $7 - $14 102%
Medicaid / KanCare $7 102%
Medicare (plans) $7 102%
Mhs $7 102%
Node Champva $7 102%
Node Devoted Health Mcr Adv $7 102%
Node Hospice Non Par Agree $7 102%
Node Pphp Mcr Adv $7 102%
Node Va $7 102%
Ppom $7 - $133 102%
Sagamore Health Network $7 - $125 102%
Us Department Of Labor $9 131%
Indiana Workers Comp $14 203%
Encore Kba Epo $17 247%
Magnacare Ma $17 247%
Encore Kba Ppo $21 305%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 102 E Culver Rd, Knox, IN 46534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals