CMS Price Transparency Data

Blood test, lipase

Facility: Bienville Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $75
  • Cash Discount Price: $83
  • vs. Medicare Baseline: 10.89x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Bienville Medical Center is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $83. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 10.89x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.
Cash / Self-Pay
$83

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $83 (1205%)
Insurance Median: $75 (1089%)
Cash: $83 (1205% of Medicare)
Ins. Median: $75 (1089% 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 1089% of the Medicare baseline (a markup of 989%). 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
Aetna $7 - $138 102%
Ambetter / Centene $7 - $75 102%
Humana $7 - $89 102%
Mcr American Hlth Adv $7 - $75 102%
Medicaid / KanCare $7 - $8 102%
Medicare (plans) $7 - $75 102%
Misc Mgd Care $7 - $138 102%
Mmc Blue Advantage $7 - $75 102%
Mmc Misc $7 - $75 102%
Mmd Amerihealth Caritas $7 - $8 102%
Mmd Healthy Blue $7 - $8 102%
Mmd La Hlth Conn $7 - $8 102%
Mmd Misc $7 - $8 102%
Peoples Health Mcr Adv $7 - $75 102%
UnitedHealthcare $7 - $75 102%
Va Health $7 - $75 102%
Cashiering $55 - $83 798%
Cigna $69 1001%
Blue Cross Blue Shield $83 1205%
Wc City Of Arcadia $125 1814%
Wc House Of Raeford $125 1814%
Wc Misc $125 1814%
Wc Stonetrust $125 1814%
Aarp $138 2003%
Allegiance Health Managme $138 2003%
Amfirst $138 2003%
Apwu $138 2003%
Liberty Mutual $138 2003%
Misc Comm A-L $138 2003%
Misc Comm M-Z $138 2003%
Tricare $138 2003%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1175 Pine Street, Arcadia, LA 71001
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals