CMS Price Transparency Data

Blood test, lipase

Facility: The Women's Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $170
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at The Women's Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$170

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: $170 (2467%)
Insurance Median: $7 (102%)
Cash: $170 (2467% 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 $3 - $16 44%
Blue Cross Blue Shield $3 - $7 44%
UnitedHealthcare $4 - $231 58%
Aetna $7 - $66 102%
Alliance Coal $7 - $200 102%
Caresource $7 102%
Caresource Hip $7 102%
Caresource In $7 102%
Chamber Care $7 - $27 102%
Humana $7 102%
Iu Health $7 - $144 102%
Mdwise Hip $7 102%
Meridian Health Il $7 102%
Mhs $7 102%
Mhs Behavioral $7 102%
Molina Il $7 102%
Molina Ky $7 102%
Molina Ky Dual $7 102%
Passport Molina Ky $7 - $66 102%
Patoka Valley Health Care (80/20 Plan) $7 102%
Patoka Valley Health Care (90/10 Plan) $7 102%
Wellcare Ky $7 - $66 102%
Ambetter / Centene $8 - $11 116%
Caresource Marketplace (Just4Me) $9 - $10 131%
Hst $9 - $10 131%
One Care $9 - $202 131%
Allied National/Zelis - Freedom Plan $10 - $17 145%
Claimdoc $10 145%
Cigna $11 - $208 160%
Claritev (Formerly Phcs/Mulitplan) $11 - $199 160%
Encorecombined $11 - $202 160%
Encoreprime $11 - $196 160%
First Health/Coventry $11 - $214 160%
Healthlink $11 - $245 160%
Hope Trust $11 160%
Noncontracted $11 160%
Sagamore $11 - $208 160%
Self Pay $16 - $170 232%
Center Care $27 - $225 392%
Immergrun $121 1756%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals