CMS Price Transparency Data

Blood test, lipase

Facility: Crossgates River Oaks Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $6
  • Cash Discount Price: $116
  • vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Crossgates River Oaks Hospital is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 0.87x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$116

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $116 (1684%)
Insurance Median: $6 (87%)
Cash: $116 (1684% of Medicare)
Ins. Median: $6 (87% 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
Self Pay $1 - $217 15%
Trimed Billing Solutions $1 - $232 15%
UnitedHealthcare $1 - $225 15%
First Choice Coventry $2 - $403 29%
First Choice Mpcn Standard $2 - $426 29%
First Choice Ppo Plus $2 - $426 29%
First Choice Standard $2 - $356 29%
Ms State Hospital Of Whitfield $2 - $294 29%
Phcs $2 - $465 29%
Aetna $3 - $500 44%
American Health Group $3 - $659 44%
Beech Street $3 - $659 44%
Benefit Management Systems $3 - $659 44%
Cigna $3 - $542 44%
First Choice Stratose $3 - $620 44%
Ibew $3 - $659 44%
Prime Health Services $3 - $620 44%
Tricare $3 - $6 44%
Advanced Health Systems $4 - $12 58%
Blue Cross Blue Shield $4 - $13 58%
First Choice Lgp $4 - $15 58%
Humana $4 - $7 58%
Medicaid / KanCare $4 - $7 58%
Medicare (plans) $4 - $7 58%
Molina $4 - $7 58%
Molina Exchange $4 - $12 58%
Ms Dept Of Rehabilitation Services $4 - $775 58%
Node Champva $4 - $7 58%
Node Devoted Health Mcr Adv $4 - $7 58%
Node First Choice American Health Of Ms Mcr Adv $4 - $7 58%
Node First Choice Shared Health Of Ms Mcr Adv $4 - $7 58%
Node First Choice Wellcare Mcr Adv $4 - $7 58%
Node Healthy Mississippi Mcr Adv $4 - $8 58%
Node Hospice Non Par Agree $4 - $7 58%
Node Magnolia Mcr Adv $4 - $7 58%
Node Va $4 - $7 58%
Node Vantage Health Mcr Adv $4 - $7 58%
Node Windsor Mcr Adv $4 - $7 58%
One Health Plan $4 - $698 58%
Veterans Eval Services $4 - $7 58%
Node Us Dept Of Labor $5 - $9 73%
Caresource Truecare $6 87%
First Choice Preferred $6 - $10 87%
Magnolia Mcd Chip $6 87%
Node First Choice Occunet $6 - $10 87%
Molina Chip $7 102%
Node Magnolia Exchange $7 - $12 102%
Vantage Health Commercial $9 - $16 131%
Ms Work Comp $13 189%
Prime Health Wc $13 189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals