CMS Price Transparency Data

Blood test, lipase

Facility: Merit Health Central

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $2
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Merit Health Central is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 1850 Chadwick Dr, Jackson, MS.
Cash / Self-Pay
$2

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: $2 (29%)
Insurance Median: $7 (102%)
Cash: $2 (29% 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
Cigna $1 - $119 15%
UnitedHealthcare $1 - $128 15%
Self Pay $2 - $151 29%
Trimed Billing Solutions $2 - $181 29%
First Choice Ppo Plus $3 - $271 44%
First Choice Standard $3 - $277 44%
Ms State Hospital Of Whitfield $3 - $229 44%
First Choice Mpcn Standard $4 - $332 58%
Benefit Management Systems $5 - $513 73%
Citizens State Bank Inc $5 - $513 73%
American Health Group $6 - $513 87%
Beech Street $6 - $513 87%
Caresource Truecare $6 87%
First Choice Stratose $6 - $482 87%
Hinds County Prisoners $6 87%
Magnolia Mcd Ms Chip $6 87%
Medicaid / KanCare $6 - $7 87%
One Health Plan $6 - $543 87%
Prime Health Services $6 - $482 87%
Tricare $6 87%
Advanced Health Systems $7 - $12 102%
Aetna $7 - $500 102%
Blue Cross Blue Shield $7 - $13 102%
Humana $7 102%
Medicare (plans) $7 102%
Molina $7 102%
Molina Chip $7 102%
Molina Exchange $7 - $12 102%
Ms Dept Of Rehabilitation Services $7 - $603 102%
Node Champva $7 102%
Node Devoted Health Mcr Adv $7 102%
Node First Choice American Health Of Ms Mcr Adv $7 102%
Node First Choice Shared 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 Va $7 102%
Node Vantage Health Mcr Adv $7 102%
Seven Corners $7 - $12 102%
Veterans Eval Services $7 102%
Node Healthy Mississippi Mcr Adv $8 116%
Node Us Dept Of Labor $9 131%
First Choice Preferred $10 145%
Occunet $10 145%
Magnolia Exchange $12 174%
Prime Work Comp $12 174%
Ms Work Comp $13 189%
First Choice Lgp $15 218%
Vantage Health Commercial $16 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1850 Chadwick Dr, Jackson, MS 39204
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals