CMS Price Transparency Data

Blood test, lipase

Facility: Moberly Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $21
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 3.05x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Moberly Regional Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 3.05x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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: $29 (421%)
Insurance Median: $21 (305%)
Cash: $29 (421% of Medicare)
Ins. Median: $21 (305% 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 305% of the Medicare baseline (a markup of 205%). 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
Medicaid / KanCare $6 - $10 87%
Tricare $6 87%
Blue Access $7 102%
Blue Cross Blue Shield $7 - $27 102%
Blue Preferred $7 102%
Medicare (plans) $7 102%
Node Devoted Health Mcr Adv $7 102%
Node Va $7 102%
Pathway/Pathway X $7 102%
UnitedHealthcare $7 - $58 102%
Veterans Eval Services $7 102%
Centurion Correctional $9 131%
Corizon $9 131%
Us Department Of Labor $9 131%
Home State Health Plan $10 - $13 145%
Healthscope Benefits $12 174%
Naphcare $13 189%
United Behavioral Health Mcd $15 218%
Self Pay $21 - $36 305%
Cigna $24 348%
Access Health Services, Llc $49 711%
Aetna $50 - $61 726%
Healthlink $53 - $61 769%
Blue Traditional $54 - $57 784%
Multiplan Primary $57 827%
Coventry Wc $61 885%
Multiplan $62 900%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals