CMS Price Transparency Data

Blood test, lipase

Facility: Ochsner St Anne General Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $11
Cash Discount Price: $16
vs. Medicare Baseline: 1.60x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Ochsner St Anne General Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.60x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$16

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $16 (232%)

Insurance Median: $11 (160%)

Cash: $16 (232% of Medicare)

Ins. Median: $11 (160% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	87%
Aetna	$7 - $28	102%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$7	102%
Healthy Blue (Healthy Louisiana)	$7	102%
Humana	$7 - $11	102%
Louisiana Healthcare Connections (Healthy Louisiana)	$7	102%
UnitedHealthcare	$7 - $11	102%
Blue Cross Blue Shield	$10 - $17	145%
Tricare	$10 - $11	145%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$11	160%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$11	160%
Medicare (plans)	$11	160%
Ochsner Health Plan	$11	160%
Healthcomp & Personify Health (Formerly Gilsbar)	$28	406%
Louisiana Workers' Compensation Corporation (Lwcc)	$28	406%
Mississippi Physicians Care Network	$28	406%
Employers Health Network (Ehn)	$31	450%
First Health Network	$31	450%
Prime Health Services Ppo	$31	450%
Claritev D/B/A Multiplan/Phcs/American Life Care	$33	479%
Usa Managed Care Network	$33	479%
Zelis	$33	479%
Cigna	$35	508%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $16.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner St Anne General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.