CMS Price Transparency Data

Blood test, lipase

Facility: Ochsner Medical Center-Kenner

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $17
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 2.47x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Ochsner Medical Center-Kenner is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 2.47x the Medicare baseline. Located in 180 West Esplanade Avenue, Kenner, LA.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $20 (290%)
Insurance Median: $17 (247%)
Cash: $20 (290% of Medicare)
Ins. Median: $17 (247% 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 247% of the Medicare baseline (a markup of 147%). 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
Medicaid / KanCare $6 - $7 87%
Aetna $7 - $39 102%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $7 102%
Amerihealth Caritas Louisiana (Healthy Louisiana) $7 102%
Blue Cross Blue Shield $7 - $12 102%
Healthy Blue (Healthy Louisiana) $7 102%
Healthy Blue Dual Advantage (Hmo-D-Snp) $7 102%
Humana $7 102%
Louisiana Healthcare Connections (Healthy Louisiana) $7 102%
Medicare (plans) $7 102%
Ochsner Health Plan $7 102%
UnitedHealthcare $7 102%
Wellcare Of Louisiana $7 102%
Tricare $8 116%
Zelis $15 - $59 218%
Healthcomp & Personify Health (Formerly Gilsbar) $16 - $65 232%
Claritev D/B/A Multiplan/Phcs/American Life Care $17 - $70 247%
First Health Network $20 - $81 290%
Louisiana Workers' Compensation Corporation (Lwcc) $20 - $81 290%
Mississippi Physicians Care Network $20 - $81 290%
Galaxy Health Network Ppo $22 - $86 319%
Galaxy Health Network Wc $22 - $86 319%
Cigna $23 - $93 334%
Employers Health Network (Ehn) $23 - $92 334%
Prime Health Services Ppo $23 - $92 334%
Usa Managed Care Network $23 - $92 334%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 180 West Esplanade Avenue, Kenner, LA 70065
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals