CMS Price Transparency Data

Blood test, lipase

Facility: Poplar Bluff Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $24
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Poplar Bluff Regional Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$24

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: $24 (348%)
Insurance Median: $10 (145%)
Cash: $24 (348% 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.

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 $1 - $263 15%
Blue Cross Blue Shield $2 - $341 29%
Self Pay $2 - $316 29%
Access Health Services, Llc $4 - $750 58%
Cigna $4 - $1,053 58%
Evolutions Healthcare $4 - $717 58%
First Health $4 - $856 58%
Healthlink $4 - $823 58%
Parker Hannifin $4 - $921 58%
Tyson Foods $4 - $724 58%
UnitedHealthcare $4 - $708 58%
Blue Traditional $5 - $1,016 73%
Compresults Wc $6 - $1,185 87%
Coventry Wc $6 - $1,053 87%
Multiplan $6 - $1,145 87%
Municipal Health $6 - $1,053 87%
Node Champva $6 87%
Phcs $6 - $1,145 87%
Tricare $6 87%
Blue Access $7 102%
Centurion Correctional $7 - $9 102%
Humana $7 102%
Medicare (plans) $7 102%
Node Ahs Mcr Adv $7 102%
Node Devoted Health Mcr Adv $7 102%
Node Hospice Non Par Agree $7 102%
Node United Behavioral Health Mcr Adv $7 102%
Node Va $7 102%
Veterans Eval Services $7 102%
Node Pphp Mcr Adv $8 116%
Us Department Of Labor $9 131%
Naphcare $13 189%
Home State Exchange $17 247%
W W Wood $17 247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals