CMS Price Transparency Data

Blood test, lipase

Facility: Merit Health Women's Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $11
  • Cash Discount Price: $85
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Merit Health Women's Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.60x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$85

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $85 (1234%)
Insurance Median: $11 (160%)
Cash: $85 (1234% of Medicare)
Ins. Median: $11 (160% 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 Mcd Ms Chip $6 87%
Medicaid / KanCare $6 - $7 87%
Tricare $6 87%
UnitedHealthcare $6 - $108 87%
Aetna $7 - $265 102%
Humana $7 102%
Medicare (plans) $7 102%
Molina Chip $7 102%
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 Wellcare Mcr Adv $7 102%
Node Molina Mcr Adv $7 102%
Node Shared Health Of Ms Mcr Adv $7 102%
Node Va $7 102%
Node Vantage Health 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%
First Choice Preferred $10 145%
Occunet $10 145%
Advanced Health Systems $12 174%
Magnolia Exchange $12 174%
Molina Exchange $12 174%
Node First Choice Seven Corners $12 174%
Blue Cross Blue Shield $13 189%
First Choice Lgp $15 218%
Vantage Health $16 232%
Cigna $82 1190%
Self Pay $83 1205%
Trimed Billing Solutions $113 1640%
State Hospital $144 2090%
First Choice Mpcn $170 2467%
First Choice Standard $174 2525%
Coventry First Health $197 2859%
First Choice Ppo Plus $208 3019%
Benefit Management Systems $272 - $321 3948%
First Choice Stratose $302 4383%
Health Choice Of Mississippi $302 4383%
Prime Health Services $302 4383%
Mississippi Department Of Rehabilitation Services $378 5486%
Ms Work Comp $378 5486%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals