CMS Price Transparency Data
Blood test, lipase
Facility: Avoyelles Hospital
Billing Code: 83690 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83690
- Insurance Median: $155
- Cash Discount Price: $78
- vs. Medicare Baseline: 22.50x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Avoyelles Hospital is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 22.50x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$78
Average discount available for prompt cash payment at this facility.
Insurance Median
$155
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: $78 (1132%)
Insurance Median: $155 (2250%)
Cash: $78 (1132% of Medicare)
Ins. Median: $155 (2250% 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 2250% of the Medicare baseline (a markup of 2150%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $7 - $145 | 102% |
| Bankers Life | $7 | 102% |
| Champva | $7 | 102% |
| Cigna | $7 - $146 | 102% |
| Correct Cr Int Hlt | $7 - $54 | 102% |
| Humana | $7 - $147 | 102% |
| Mcd Amerihealth Caritas | $7 - $54 | 102% |
| Mcd Healthy Blue | $7 - $54 | 102% |
| Mcd La Hc Conn | $7 - $54 | 102% |
| Mcr Lagniappe | $7 | 102% |
| Medeico Ins Co | $7 | 102% |
| Medicaid / KanCare | $7 - $54 | 102% |
| Medicare (plans) | $7 | 102% |
| Mmc Allwell | $7 | 102% |
| Mmc Blue Advantage | $7 | 102% |
| Mmc Healthy Blue Dual Adv | $7 | 102% |
| Mmc Mcr Hmo Miscellaneous | $7 | 102% |
| Mmc Priority Hlth Pffs | $7 | 102% |
| Mmc Vantage Hlth | $7 | 102% |
| Mmc Wellcare | $7 | 102% |
| Mutual Of Omaha | $7 | 102% |
| Neba Inc | $7 | 102% |
| Philadelphia American Lif | $7 | 102% |
| Sentinel Security Life | $7 | 102% |
| Trustmark Health Benefits | $7 - $258 | 102% |
| Tunica Biloxi | $7 - $258 | 102% |
| United Amer Ins | $7 | 102% |
| UnitedHealthcare | $7 - $54 | 102% |
| Veterans Evaluation Serv | $7 | 102% |
| Wps Vacca | $7 | 102% |
| Mcd Ms | $8 - $59 | 116% |
| All Savers | $9 | 131% |
| Geha | $9 | 131% |
| Gulf South Zelis | $9 | 131% |
| United Hlth One | $9 | 131% |
| Amer Contl Ins | $11 - $145 | 160% |
| Blue Cross Blue Shield | $11 | 160% |
| Coventry | $11 - $145 | 160% |
| First Choice Health | $11 - $145 | 160% |
| Meritan Health | $11 - $258 | 160% |
| Ofc Of Grp Bene | $11 | 160% |
| Student Assurances | $78 - $258 | 1132% |
| Ppo Plus Llc | $155 | 2250% |
| Zelis Healthcare Bpa | $155 | 2250% |
| Gilsbar | $163 | 2366% |
| Amerind | $233 | 3382% |
| Applied Underwriters | $233 | 3382% |
| Sedgwick | $233 | 3382% |
| Us Dept Of Labor | $233 | 3382% |
| Wc Clms Admin Svcs | $233 | 3382% |
| Wc Clms Mgmnt Walmart | $233 | 3382% |
| Wc Esis | $233 | 3382% |
| Wc Fara | $233 | 3382% |
| Wc Gallagher Bassett | $233 | 3382% |
| Wc Guide One | $233 | 3382% |
| Wc Hartford Med | $233 | 3382% |
| Wc Luba | $233 | 3382% |
| Wc Lwcc | $233 | 3382% |
| Wc Paragon Casino Resort | $233 | 3382% |
| Wc Risk Mgmnt | $233 | 3382% |
| Wc Stone Trust | $233 | 3382% |
| Wc Summit Consulting Hold | $233 | 3382% |
| Wc Travelers Ins | $233 | 3382% |
| Wc Trs Workers Comp Claim | $233 | 3382% |
| Wc Us Dol | $233 | 3382% |
| Wc Zurich | $233 | 3382% |
| Aarp | $258 | 3745% |
| Admin Concepts | $258 | 3745% |
| All Saints Hospice | $258 | 3745% |
| All State | $258 | 3745% |
| Allegiance Health Hospice | $258 | 3745% |
| Allied Natl | $258 | 3745% |
| Amfirst | $258 | 3745% |
| Avoy Parish School Board | $258 | 3745% |
| Avoyelles Parish Sheriff | $258 | 3745% |
| Bollinger | $258 | 3745% |
| Ccmsi | $258 | 3745% |
| Central States | $258 | 3745% |
| Christus Health Plan | $258 | 3745% |
| Compassionate Care Hospic | $258 | 3745% |
| Core Source | $258 | 3745% |
| Coushatta Hlth Dept | $258 | 3745% |
| Ebms | $258 | 3745% |
| Federated Ins | $258 | 3745% |
| Feedom Life | $258 | 3745% |
| Fidelity Standard Life Co | $258 | 3745% |
| Fox Everette | $258 | 3745% |
| Guarantee Trust | $258 | 3745% |
| Heart Of Hospice | $258 | 3745% |
| Hos Christus Hospice | $258 | 3745% |
| Hos Guardian Hospice Care | $258 | 3745% |
| Hos Harbor Hospice Alex | $258 | 3745% |
| Hos La Hospice Palliative | $258 | 3745% |
| Hos Passages Hospice N. | $258 | 3745% |
| Hos St Joseph Hospice | $258 | 3745% |
| Hospice Miscellaneous | $258 | 3745% |
| Ins Mgmnt Admin | $258 | 3745% |
| Ins Tpa | $258 | 3745% |
| Liberty Health Share | $258 | 3745% |
| Lumico | $258 | 3745% |
| Manhattan Life Ins | $258 | 3745% |
| Medi Share | $258 | 3745% |
| Misc Comm | $258 | 3745% |
| Nalc | $258 | 3745% |
| New Era Life | $258 | 3745% |
| North American | $258 | 3745% |
| Phcs | $258 | 3745% |
| Physicians Mutual | $258 | 3745% |
| Pipeline Ind Bene | $258 | 3745% |
| Progressive Auto | $258 | 3745% |
| Reliance Standard Life | $258 | 3745% |
| Rural Carriers | $258 | 3745% |
| Shelter Ins Co | $258 | 3745% |
| Sierre Health And Life | $258 | 3745% |
| State Farm | $258 | 3745% |
| State Mutual | $258 | 3745% |
| Sterling Investors | $258 | 3745% |
| The Health Plan | $258 | 3745% |
| Tribal Hlth Partners | $258 | 3745% |
| Tricare | $258 | 3745% |
| Uct | $258 | 3745% |
| Unified Life | $258 | 3745% |
| Usaa Life Ins | $258 | 3745% |
| Web-Tpa | $258 | 3745% |
| Woodmen Of The World | $258 | 3745% |