CMS Price Transparency Data

Blood test, lipase

Facility: Merit Health River Region

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $193
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Merit Health River Region is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $193. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 2100 Hwy 61 N, Vicksburg, MS.
Cash / Self-Pay
$193

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $193 (2801%)
Insurance Median: $7 (102%)
Cash: $193 (2801% of Medicare)
Ins. Median: $7 (102% 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
Caresource Truecare $6 87%
Magnolia $6 87%
Magnolia Mcd Chip $6 87%
Medicaid / KanCare $6 - $7 87%
Tricare $6 87%
UnitedHealthcare $6 - $110 87%
Aetna $7 - $17 102%
Department Of Veterans Affairs $7 102%
First Choice $7 - $604 102%
Humana $7 102%
Medicare (plans) $7 102%
Molina Chip $7 102%
Node Devoted Health Mcr Adv $7 102%
Node First Choice American Health Of Ms Mcr Adv $7 102%
Node First Choice Wellcare Mcr Adv $7 102%
Node Hospice Non Par Agree $7 102%
Node Magnolia Mcr Adv $7 102%
Node Molina Mcr Adv $7 102%
Node Peoples Health Mcr Adv $7 102%
Node Va $7 102%
Node Vantage Mcr Adv $7 102%
Node Windsor Mcr Adv $7 102%
Veterans Eval Services $7 102%
Node Healthy Mississippi Mcr Adv $8 116%
Node Us Dept Of Labor $9 131%
Advanced Health Systems $12 174%
Magnolia Exchange $12 174%
Molina Exchange $12 174%
Node Seven Corners $12 174%
Blue Cross Blue Shield $13 189%
Ms Work Comp $13 189%
Vantage Commercial $16 232%
Self Pay $145 - $242 2104%
Medpartners $161 2337%
Trimed Billing Solutions $242 3512%
Cigna $333 - $564 4833%
First Choice Mpcn Standard $443 6430%
Phcs $484 7025%
Ms Health Partners $604 8766%
Ms Dept Of Rehabilitation Services $806 11698%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2100 Hwy 61 N, Vicksburg, MS 39183
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals