CMS Price Transparency Data

Blood test, lipase

Facility: Essentia Health Holy Trinity Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $66
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 9.58x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Essentia Health Holy Trinity Hospital is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 9.58x the Medicare baseline. Located in 115 Second Street West, Box 157, Graceville, MN.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

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: $78 (1132%)
Insurance Median: $66 (958%)
Cash: $78 (1132% of Medicare)
Ins. Median: $66 (958% 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 958% of the Medicare baseline (a markup of 858%). 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
Advocare/Security Health $7 - $66 102%
Blue Cross Blue Shield $7 - $92 102%
Freedom Blue Ppo $7 - $66 102%
Healthpartners Care Msho / Mcr Adv $7 - $66 102%
Imcare Msho Pcc Prime $7 - $66 102%
Imcare Msho Ref Req $7 - $66 102%
Itasca Med Care $7 102%
Medica Advantage Solutions $7 - $66 102%
Medica Msho/Dual Solutions $7 - $66 102%
Medica Prime Solution Group $7 - $66 102%
Medicare (plans) $7 - $66 102%
Nd Va Administration $7 - $66 102%
Platinum Blue/Vantage Blue $7 - $66 102%
Primewest $7 102%
Primewest Msho $7 - $66 102%
Secure Blue Msho $7 - $66 102%
Ubh Cost Plan $7 - $66 102%
Ubh Msho $7 - $66 102%
Ucare Msho $7 - $66 102%
UnitedHealthcare $7 - $96 102%
Healthpartners Care Pmap $41 595%
Medica Access $42 - $66 610%
Sanford Healthplan $45 - $48 653%
Blue Plus Pmap Pcc Prime $58 - $92 842%
Healthpartners $64 - $70 929%
Cigna $70 1016%
Healthpartners Pcc Prime $70 1016%
Ucare $70 1016%
Wea $76 - $82 1103%
America'S Ppo $82 1190%
Medica $88 - $93 1277%
Medica Uplan $88 1277%
Wps $88 - $89 1277%
Aetna $90 1306%
Medica Choice $96 1393%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Second Street West, Box 157, Graceville, MN 56240
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals