CMS Price Transparency Data
Blood test, lipase
Facility: Claiborne Memorial Medical Center
Billing Code: 83690 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83690
- Insurance Median: $51
- Cash Discount Price: $78
- vs. Medicare Baseline: 7.40x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Claiborne Memorial Medical Center is $51. 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 7.40x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$78
Average discount available for prompt cash payment at this facility.
Insurance Median
$51
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: $51 (740%)
Cash: $78 (1132% of Medicare)
Ins. Median: $51 (740% 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 740% of the Medicare baseline (a markup of 640%). 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 - $51 | 102% |
| Amerihealth Caritas La | $7 - $34 | 102% |
| Arcadian Community Mcr Hm | $7 | 102% |
| Blue Cross Blue Shield | $7 - $37 | 102% |
| Champus | $7 | 102% |
| Champva | $7 | 102% |
| Cigna | $7 - $59 | 102% |
| Community Health Solution | $7 - $34 | 102% |
| Correctcare Intergrated | $7 - $34 | 102% |
| Healthy Blue | $7 - $34 | 102% |
| Healthy Blue Dual Adv | $7 | 102% |
| Humana | $7 - $78 | 102% |
| Kaiser Foundation Health | $7 | 102% |
| Louisiana Hc Connections | $7 - $34 | 102% |
| Magellan Services | $7 - $34 | 102% |
| Medicaid / KanCare | $7 - $34 | 102% |
| Medicare (plans) | $7 | 102% |
| Peoples Health Network | $7 | 102% |
| Pyramid Claims Mcr Hmo | $7 | 102% |
| Sterling Connect 2 | $7 | 102% |
| Sterling Premier Mc Hmo | $7 | 102% |
| Superior Health Mcr Hmo | $7 | 102% |
| Tenet Mcr Hmo | $7 | 102% |
| Tricare | $7 | 102% |
| United Hc Mcr Hmo | $7 | 102% |
| UnitedHealthcare | $7 - $34 | 102% |
| Universal Hc Mcr Hmo | $7 | 102% |
| Us Dept Of Labor | $7 | 102% |
| Vantage Health Mcr Hmo | $7 | 102% |
| Windsor Sterling Mcr Hmo | $7 | 102% |
| Wps Mvh Vapc3 | $7 | 102% |
| All Savers | $8 | 116% |
| Golden Rule Ins Co | $8 | 116% |
| United Behavioral Health | $8 | 116% |
| Vantage Health Plan Inc | $9 | 131% |
| Ambetter / Centene | $10 | 145% |
| Commercial Insurance | $31 - $78 | 450% |
| Meritain Health | $31 - $51 | 450% |
| Sedgwick Claims Mgmt Serv | $34 - $70 | 493% |
| Workman'S Comp | $34 - $70 | 493% |
| Coventry Healthcare | $47 | 682% |
| Geha | $55 | 798% |
| Health Plus Of La | $55 - $59 | 798% |
| Apwu Healthplan | $59 | 856% |
| Great West Healthcare | $59 | 856% |
| Phcs | $63 | 914% |
| Ppo Plus | $63 | 914% |
| Aarp | $78 | 1132% |
| Accordia National | $78 | 1132% |
| Aflac | $78 | 1132% |
| Alameda Alliance Forhealt | $78 | 1132% |
| American Pioneer | $78 | 1132% |
| Benefit Management | $78 | 1132% |
| Benesys Inc | $78 | 1132% |
| Business Guarantor | $78 | 1132% |
| Chubb | $78 | 1132% |
| Commercial Sr. Care | $78 | 1132% |
| Employee Benefit Services | $78 | 1132% |
| Family Life Insurance Co | $78 | 1132% |
| Farm Bureau Insurance | $78 | 1132% |
| Fiserv Health Benefit | $78 | 1132% |
| Gmp | $78 | 1132% |
| Group And Pension Admin | $78 | 1132% |
| Group Resources | $78 | 1132% |
| Haik Minvielle And Grubbs | $78 | 1132% |
| Harrington Benefit Svs | $78 | 1132% |
| Health Design Plus | $78 | 1132% |
| Health Plan | $78 | 1132% |
| Healthscope Benefits | $78 | 1132% |
| Insurance Management Admi | $78 | 1132% |
| Jefferson National | $78 | 1132% |
| John Alden Health Ins | $78 | 1132% |
| John Hancock | $78 | 1132% |
| Liberty Mutual | $78 | 1132% |
| Mailhandlers Benefit Plan | $78 | 1132% |
| Manhattan Life Ins Co | $78 | 1132% |
| Mega Life And Health | $78 | 1132% |
| Msa Careguard | $78 | 1132% |
| Mutual Of Omaha | $78 | 1132% |
| Nalc Health Benefit Plan | $78 | 1132% |
| Naphcare Inc. | $78 | 1132% |
| New Era Life Ins Co | $78 | 1132% |
| Physicians Mutual | $78 | 1132% |
| Principal Financial Group | $78 | 1132% |
| Prudential Healthcare | $78 | 1132% |
| Self Pay | $78 | 1132% |
| State Farm | $78 | 1132% |
| State Farm Insurance | $78 | 1132% |
| State Mutual Insurance Co | $78 | 1132% |
| Sterling Investors Life | $78 | 1132% |
| Tower Life | $78 | 1132% |
| Transamerica Premier Ins | $78 | 1132% |
| United American | $78 | 1132% |
| United Comm Travelers | $78 | 1132% |
| United Teachers | $78 | 1132% |
| Usable Administrator | $78 | 1132% |
| Visn 16 Cfu | $78 | 1132% |
| Wausau Benefits | $78 | 1132% |
| Webtpa | $78 | 1132% |
| Wells Fargo | $78 | 1132% |
| Woodmen Of The World | $78 | 1132% |