CMS Price Transparency Data

Blood test, lipase

Facility: Mercy Hospital Southeast

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $12
  • Cash Discount Price: $89
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Mercy Hospital Southeast is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.74x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$89

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $89 (1292%)
Insurance Median: $12 (174%)
Cash: $89 (1292% of Medicare)
Ins. Median: $12 (174% 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
Aetna $6 - $113 87%
Medicaid / KanCare $6 - $26 87%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $7 102%
Blue Cross Blue Shield $7 - $167 102%
Cross Timbers Hospice [20098] $7 102%
Dept Of Veteran Affairs Contracted [320106] $7 102%
Elara Caring Aspire Hospice Contracted [320433] $7 102%
Elara Caring Aspire Hospice [20433] $7 102%
Halo Hcr Inc Hospice Contracted [320432] $7 102%
Halo Hcr Inc Hospice [20432] $7 102%
Humana $7 - $150 102%
Kindful Hospice Contracted [320434] $7 102%
Kindful Hospice [20434] $7 102%
Medicare (plans) $7 102%
Mercy Hospice Okc [20252] $7 102%
Pace Of The Ozarks Contracted [320518] $7 102%
Tricare $7 102%
UnitedHealthcare $7 - $17 102%
Provider Partners Health Plans Contracted [320450] $8 116%
United Medical Resources Contracted [320454] $8 116%
Ambetter / Centene $9 131%
Consociate Consolidated Health Contracted [320490] $9 - $15 131%
Home State Health Plan Contracted [320187] $9 131%
Auxiant Contracted [320462] $11 - $14 160%
Centivo Contracted [320505] $11 160%
Ebms Contracted [320493] $11 160%
Healthlink Contracted [320179] $11 - $137 160%
Imagine 360 Contracted [320494] $11 160%
Mercy Benefit Admin Contracted [320251] $11 - $120 160%
Yuzu Health Contracted [320521] $11 - $120 160%
Preferred Health Plan Contracted [320522] $12 174%
Reflect Health Contracted [320492] $12 174%
Hope Trust Contracted [320488] $17 247%
Cigna $19 276%
First Health Contracted [320128] $63 - $113 914%
Health Alliance Contracted [320164] $64 - $114 929%
Aither Health Contracted [320449] $67 - $120 972%
Edison Health Solutions Contracted [320502] $67 - $120 972%
Mercy Benefit Admin [20251] $67 - $120 972%
Workers Comp [20426] $74 - $141 1074%
Multiplan Contracted [320270] $79 - $141 1147%
Private Health Care Systems Contracted [320320] $79 - $141 1147%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals