CMS Price Transparency Data

Blood test, lipase

Facility: Munson Healthcare Grayling Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $20
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 2.90x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Munson Healthcare Grayling Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 2.90x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $40 (581%)
Insurance Median: $20 (290%)
Cash: $40 (581% of Medicare)
Ins. Median: $20 (290% 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 290% of the Medicare baseline (a markup of 190%). 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
Blue Cross Blue Shield $4 - $9 58%
Mclaren Health Plan $4 - $38 58%
Meridian $4 58%
Molina $4 - $7 58%
Priority Health $4 - $14 58%
UnitedHealthcare $4 - $41 58%
Aetna $7 - $52 102%
Atrium King Centre Skilled Nursing Services $7 102%
Blue Care Network $7 102%
Cigna $7 - $14 102%
Cofinity $7 - $53 102%
Hap (Health Alliance Plan) $7 - $54 102%
Humana $7 102%
Medicare (plans) $7 102%
Michigan Amish Medical Board $7 102%
Northern Michigan Mennonite Group $7 102%
Promedica $7 102%
Wellcare (Meridian) $7 102%
Wellspring Lutheran Services Skilling Nursing Services $7 102%
Employee Benefits Logistics $12 174%
Hospice Of Michigan $15 - $41 218%
Munson Hospice $18 - $852 261%
Asr/Physicians Care $20 - $54 290%
Medical Cost Savings Solution $20 - $54 290%
Nomi Health $20 - $54 290%
The Robbins Group And Regency Employee Benefits $20 - $54 290%
Wds Enterprise Group Planning $20 - $54 290%
First Health/Coventry Network $22 - $58 319%
Provider Network Of America Group Health $22 - $58 319%
Three Rivers Provider Network $22 - $58 319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals