CMS Price Transparency Data

Blood test, lipase

Facility: Merit Health Wesley

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $134
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Merit Health Wesley is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$134

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $134 (1945%)
Insurance Median: $8 (116%)
Cash: $134 (1945% of Medicare)
Ins. Median: $8 (116% 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 $5 - $7 73%
Caresource Truecare $6 87%
Magnolia $6 - $7 87%
Magnolia Mcd Ms Chip $6 87%
Tricare $6 87%
UnitedHealthcare $6 - $59 87%
Aetna $7 - $218 102%
First Choice $7 - $419 102%
Humana $7 102%
Medicare (plans) $7 102%
Molina $7 102%
Molina Chip $7 102%
Node Champva $7 102%
Node Devoted Health Mcr Adv $7 102%
Node First Choice American Health Mcr Adv $7 102%
Node First Choice Wellcare Mcr Adv $7 102%
Node Hospice Non Par Agree $7 102%
Node Va $7 102%
Node Vantage 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%
First Choice Molina $12 174%
Magnolia Exchange $12 174%
Molina Exchange $12 174%
Blue Cross Blue Shield $13 189%
Ms Work Comp $13 189%
First Choice Lgp $15 218%
Vantage Health $16 232%
Chs Group Health Plan $105 1524%
Self Pay $110 - $157 1597%
Cigna $148 2148%
Trimed Billing Solutions $157 2279%
Benefit Management Services $340 4935%
Coventry First Health $393 5704%
Ms Dept Of Rehabilitation Services $524 7605%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals