CMS Price Transparency Data

Blood test, lipase

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $50
Cash Discount Price: $93
vs. Medicare Baseline: 7.26x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Ste Genevieve County Memorial Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 7.26x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.

Cash / Self-Pay

$93

Average discount available for prompt cash payment at this facility.

Insurance Median

$50

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: $93 (1350%)

Insurance Median: $50 (726%)

Cash: $93 (1350% of Medicare)

Ins. Median: $50 (726% 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 726% of the Medicare baseline (a markup of 626%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Homestate	$6	87%
Medicaid / KanCare	$6	87%
Healthy_Blue	$7	102%
Uhc_Community	$7	102%
Blue Cross Blue Shield	$43 - $138	624%
Medicare (plans)	$46	668%
Va	$46	668%
Aetna	$47 - $143	682%
Allwell	$47	682%
Healthlink_Compmanagement	$50	726%
Healthlink_Hmo	$50	726%
Healthlink_Ppo	$50	726%
Pphp	$53	769%
UnitedHealthcare	$55 - $93	798%
Ambetter / Centene	$58	842%
Meritain	$143	2075%
Cigna	$153	2221%
Multiplan/Phcs	$158	2293%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $93.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ste Genevieve County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.