CMS Price Transparency Data

Blood test, lipase

Facility: Ascension Providence Hospital, Southfield and Novi

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Ascension Providence Hospital, Southfield and Novi is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 16001 W Nine Mile Rd, Southfield, MI.
Cash / Self-Pay
$21

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $21 (305%)
Insurance Median: $7 (102%)
Cash: $21 (305% of Medicare)
Ins. Median: $7 (102% 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.

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
Blue Caid Michigan $4 58%
Harbor Health Mcd $4 58%
Medicaid / KanCare $4 - $7 58%
Molina Health $4 58%
Total Health Care $4 58%
UnitedHealthcare $4 58%
Smarthealth Non Assigned $5 73%
Amerihealth Vip Care Mcr $6 - $7 87%
Aetna $7 - $8 102%
Auto Insurance $7 102%
Bc Metro Detroit Epo $7 102%
Bc Metro Detroit Hmo $7 102%
Bcn Local Network Southeast $7 102%
Blue Care Network $7 102%
Blue Cross Blue Shield $7 102%
Humana $7 102%
Jvhl - Mcr Replacement $7 102%
Mcr Replacement $7 102%
Meridian Wellcare $7 102%
Molina Advantage $7 102%
Veterans Choice $7 102%
Ambetter / Centene $9 131%
Molina Marketplace $9 131%
Priority Ppo $9 131%
Hap Alliance Health $10 145%
Hap Hmo Pos $10 145%
Smart Health $10 145%
Priority Health Hmo $11 160%
Hap Preferred $12 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16001 W Nine Mile Rd, Southfield, MI 48075
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals