CMS Price Transparency Data
Blood test, lipase
Facility: Mercy Health Lakeshore Campus
Billing Code: 83690 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 83690
- Insurance Median: $10
- Cash Discount Price: $28
- vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Mercy Health Lakeshore Campus is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$28
Average discount available for prompt cash payment at this facility.
Insurance Median
$10
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: $28 (406%)
Insurance Median: $10 (145%)
Cash: $28 (406% of Medicare)
Ins. Median: $10 (145% 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.
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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 | $5 - $64 | 73% |
| Medicaid / KanCare | $5 | 73% |
| Molina Marketplace | $5 - $31 | 73% |
| Hospice Of Michigan | $6 - $41 | 87% |
| Nomi Health | $6 - $42 | 87% |
| Access Health | $7 | 102% |
| Aetna | $7 - $60 | 102% |
| Align Senior Care | $7 | 102% |
| Blue Care Network Advantage | $7 | 102% |
| Correctional Recovery | $7 | 102% |
| Medicare (plans) | $7 | 102% |
| Oscar | $7 | 102% |
| UnitedHealthcare | $7 - $68 | 102% |
| Hap | $8 - $56 | 116% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $8 | 116% |
| U Of M Health Plan | $8 - $67 | 116% |
| Asr Health Benefits | $9 - $62 | 131% |
| Geha | $9 - $68 | 131% |
| Meritain | $9 - $60 | 131% |
| Wc Accident Fund | $9 - $59 | 131% |
| Wc Advantage | $9 - $59 | 131% |
| Wc Aig | $9 - $59 | 131% |
| Wc Allied | $9 - $59 | 131% |
| Wc Amerisure | $9 - $59 | 131% |
| Wc Amtrust | $9 - $59 | 131% |
| Wc Asu Risk Mgt | $9 - $59 | 131% |
| Wc Berkley Admin | $9 - $59 | 131% |
| Wc Broadspire | $9 - $59 | 131% |
| Wc Bunch & Associates | $9 - $59 | 131% |
| Wc Ccmsi | $9 - $59 | 131% |
| Wc Emc Insurance Company | $9 - $59 | 131% |
| Wc Esis | $9 - $59 | 131% |
| Wc Fcci | $9 - $59 | 131% |
| Wc Federated | $9 - $59 | 131% |
| Wc Gallagher Bassett | $9 - $59 | 131% |
| Wc Genex Care For Ohio | $9 - $59 | 131% |
| Wc Guard Insurance Company | $9 - $59 | 131% |
| Wc Hartford | $9 - $59 | 131% |
| Wc Liberty Mutual | $9 - $59 | 131% |
| Wc Meijers | $9 - $59 | 131% |
| Wc Michigan | $9 - $59 | 131% |
| Wc Mitchell Frankenmuth | $9 - $59 | 131% |
| Wc Pma | $9 - $59 | 131% |
| Wc Sedgwick | $9 - $59 | 131% |
| Wc Sentry | $9 - $59 | 131% |
| Wc Travelers | $9 - $59 | 131% |
| Wc Tristar | $9 - $59 | 131% |
| Wc Walmart | $9 - $59 | 131% |
| Wc Zurich | $9 - $59 | 131% |
| 1199 National Benefit Fund | $10 - $64 | 145% |
| Acclaim | $10 - $67 | 145% |
| Administrative Concepts | $10 - $67 | 145% |
| Allegeant | $10 - $67 | 145% |
| Allied Benefit Systems | $10 - $67 | 145% |
| Allied National Global Care | $10 - $64 | 145% |
| Ameriben | $10 - $67 | 145% |
| American Family | $10 - $67 | 145% |
| American Healthcare Alliance | $10 - $67 | 145% |
| American Republic | $10 - $67 | 145% |
| Amerihealth | $10 - $67 | 145% |
| Asrm - Reliance Standard Life Insurance | $10 - $64 | 145% |
| Aultcare | $10 - $67 | 145% |
| Automated Benefit Services | $10 - $67 | 145% |
| Auxiant | $10 - $67 | 145% |
| Bcn Domestic | $10 - $64 | 145% |
| Benefit Administrative Systems,Llc | $10 - $67 | 145% |
| Blue Benefit Administrators Of Massachusetts | $10 - $64 | 145% |
| Blue Care Network | $10 - $64 | 145% |
| Blue Distinction Transplant | $10 - $64 | 145% |
| Blue Shield - Ca | $10 - $64 | 145% |
| Blue Shield - Id (Regence) | $10 - $64 | 145% |
| Blue Shield - Ny Highmark Northeastern | $10 - $64 | 145% |
| Blue Shield - Ny Highmark Western | $10 - $64 | 145% |
| Blue Shield - Pa (Highmark) | $10 - $64 | 145% |
| Blue Shield - Wa (Regence) | $10 - $64 | 145% |
| Boon Chapman | $10 - $67 | 145% |
| Cam Administrative Services | $10 - $67 | 145% |
| Christian Brother Services | $10 - $67 | 145% |
| Christian Brothers Holy Cross | $10 - $67 | 145% |
| Christian Care Ministry | $10 - $64 | 145% |
| Cigna | $10 - $65 | 145% |
| Claimchoice Adminstrators | $10 - $67 | 145% |
| Comprehensive Benefits | $10 - $67 | 145% |
| Consociate | $10 - $67 | 145% |
| Continental Life Insurance | $10 - $67 | 145% |
| Custom Benefit Administrators | $10 - $67 | 145% |
| Cypress Benefit Administrators | $10 - $67 | 145% |
| Dean Health | $10 - $64 | 145% |
| Employee Benefit Concepts | $10 - $67 | 145% |
| Employee Benefit Management | $10 - $67 | 145% |
| Enterprise Group Planning | $10 - $67 | 145% |
| Fallon Health | $10 - $64 | 145% |
| Family Life Insurance Company | $10 - $64 | 145% |
| First Health | $10 - $68 | 145% |
| Forest County Potawatomi | $10 - $67 | 145% |
| Freedom Life Insurance Company | $10 - $67 | 145% |
| Ghc Scw | $10 - $64 | 145% |
| Group Administrators | $10 - $67 | 145% |
| Group Marketing Services | $10 - $67 | 145% |
| Group Pension Administrators | $10 - $64 | 145% |
| Guardian | $10 - $67 | 145% |
| Health America | $10 - $67 | 145% |
| Health Choices | $10 - $67 | 145% |
| Health Smart | $10 - $67 | 145% |
| Healthez | $10 - $67 | 145% |
| Healthgram | $10 - $67 | 145% |
| Healthscope | $10 - $67 | 145% |
| Humana | $10 - $67 | 145% |
| Insight | $10 - $67 | 145% |
| Intercare | $10 - $67 | 145% |
| International Benefit Administrators | $10 - $64 | 145% |
| Jfp Benefit Management | $10 - $67 | 145% |
| Jp Farley Corporation | $10 - $67 | 145% |
| Kaiser Domestic | $10 - $64 | 145% |
| Key Benefit Administrator | $10 - $67 | 145% |
| Liberty Union Life Assurance Co | $10 - $67 | 145% |
| Lifetime Benefit Solutions | $10 - $64 | 145% |
| Lucent Health | $10 - $67 | 145% |
| Luminare Health | $10 - $67 | 145% |
| Luminare Health (Detroit) | $10 - $67 | 145% |
| Manhattan Life | $10 - $64 | 145% |
| Medben | $10 - $67 | 145% |
| Medcost | $10 - $67 | 145% |
| Medi Share | $10 - $64 | 145% |
| Medical Mutual | $10 - $67 | 145% |
| Multiplan | $10 - $64 | 145% |
| Mutual Health Services | $10 - $67 | 145% |
| Mutual Of Omaha | $10 - $67 | 145% |
| Mvp | $10 - $64 | 145% |
| Ncas | $10 - $67 | 145% |
| Nippon Life Ins | $10 - $67 | 145% |
| Nova | $10 - $67 | 145% |
| Pai | $10 - $64 | 145% |
| Painters Union Insurance Fund | $10 - $67 | 145% |
| Pan-American Life | $10 - $64 | 145% |
| Paramount Hmo | $10 - $64 | 145% |
| Phcs | $10 - $64 | 145% |
| Physicians Mutual | $10 - $67 | 145% |
| Plumbers Local 98 Insurance Fund | $10 - $67 | 145% |
| Prairie States | $10 - $67 | 145% |
| Primary Physician Care | $10 - $67 | 145% |
| Priority Health | $10 - $68 | 145% |
| Professional Benefit Administrators | $10 - $67 | 145% |
| Secureone Preferred United Plans | $10 - $67 | 145% |
| The Loomis Company | $10 - $67 | 145% |
| Trinity Health Share | $10 - $64 | 145% |
| Trustmark Small Business Benefits | $10 - $67 | 145% |
| Unicare | $10 - $67 | 145% |
| Unified Group Services | $10 - $67 | 145% |
| Us Health And Life | $10 - $67 | 145% |
| Valenz | $10 - $67 | 145% |
| Varipro | $10 - $67 | 145% |
| Western & Southern Financial Group | $10 - $67 | 145% |
| Wps | $10 - $67 | 145% |
| Vitalcore | $11 | 160% |
| Wellpath | $11 | 160% |