CMS Price Transparency Data

Blood test, lipase

Facility: Northern Louisiana Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $221
  • Cash Discount Price: $174
  • vs. Medicare Baseline: 32.08x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Northern Louisiana Medical Center is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $174. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 32.08x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$174

Average discount available for prompt cash payment at this facility.

Insurance Median
$221

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: $174 (2525%)
Insurance Median: $221 (3208%)
Cash: $174 (2525% of Medicare)
Ins. Median: $221 (3208% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 3208% of the Medicare baseline (a markup of 3108%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Champus $6 87%
Champva $6 87%
Golden Rule Ins $6 - $190 87%
Tricare $6 - $7 87%
UnitedHealthcare $6 - $190 87%
Aetna $7 - $190 102%
Blue Cross Blue Shield $7 - $45 102%
Gulf South Services $7 102%
Humana $7 - $50 102%
Medicaid / KanCare $7 - $316 102%
Medicare (plans) $7 102%
Mutual Of Omaha $7 102%
Va $7 102%
Vantage Advantage $7 102%
Veterans Evaluation Svcs $7 102%
Vantage Health Plan Ppaca $13 189%
First Health $14 - $269 203%
Vantage Health Plan $14 203%
Verity Healthnet $155 2250%
Cigna $158 2293%
Kaiser Permanente $158 2293%
Gilsbar $174 2525%
Self Pay $174 2525%
Geha $253 - $300 3672%
Multiplan $269 3904%
Phcs $269 3904%
Work Comp City Of Ruston $284 4122%
Work Comp First Health $284 4122%
Work Comp Nlmc Emp $284 4122%
Workers Compensation $284 4122%
Aarp $316 4586%
Aflc American Family Life $316 4586%
American Life Accident $316 4586%
Apwu Health Plan $316 4586%
Bankers Life And Casualty $316 4586%
Benefit Trust Life $316 4586%
Crime Victims Compensatio $316 4586%
Equitable $316 4586%
Fox Everett Inc $316 4586%
Gmp Employers Retiree Tru $316 4586%
Gsu Athletics $316 4586%
Guarantee Trust Life Ins $316 4586%
Healthfirst Tpa $316 4586%
Hospice Of Caring Hearts $316 4586%
Ima Insurance $316 4586%
Industrial Accounts $316 4586%
Liberty Healthshare $316 4586%
Liberty Mutual Group $316 4586%
Lifecare Specialty Hosp $316 4586%
Lin Parish Detention $316 4586%
Lincoln Kidney Center $316 4586%
Ltu Athletics $316 4586%
Ltu Student Ins Bollinger $316 4586%
Mcr American Hlth Adv $316 4586%
Misc Commercial $316 4586%
Mva Insurance Payors $316 4586%
Nalc Health Benefit Plan $316 4586%
Nalc Natl Assoc Ltr Carri $316 4586%
Newera $316 4586%
Nlmc Community Services $316 4586%
Physicians Mutual Ins $316 4586%
Premier Hospice $316 4586%
Principal Mutual Life Ins $316 4586%
Protective Life Ins $316 4586%
Ruston Regional Specialty $316 4586%
Specialty Hosp Of Winnfie $316 4586%
State Farm Insurance $316 4586%
State Mutual Ins $316 4586%
Sterling Investors Life $316 4586%
The Hartford $316 4586%
Union Bankers Insurance C $316 4586%
Union Fidelity Life Ins $316 4586%
United American $316 4586%
United Teachers Ins $316 4586%
Us Dept Of Labor $316 4586%
Washington National Ins $316 4586%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals