CMS Price Transparency Data

Blood test, lipase

Facility: Merit Health River Oaks

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $4
  • Cash Discount Price: $2
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Merit Health River Oaks is $4. 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 0.58x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$2

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $4 (58%)
Cash: $2 (29% of Medicare)
Ins. Median: $4 (58% 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 - $92 15%
Ms State Hospital Of Whitfield Ms $1 - $176 15%
Trimed Billing Solutions $1 - $139 15%
UnitedHealthcare $1 - $123 15%
Aetna $2 - $323 29%
Benefit Administration Services $2 - $393 29%
Benefit Management Systems $2 - $393 29%
Citizens State Bank Inc $2 - $393 29%
First Choice Coventry $2 - $240 29%
First Choice Mpcn Standard $2 - $254 29%
First Choice Ppo Plus $2 - $254 29%
First Choice Standard $2 - $213 29%
Phcs $2 - $277 29%
Self Pay $2 - $102 29%
Advanced Health Systems $3 - $12 44%
American Health Group $3 - $393 44%
Beech Street $3 - $393 44%
Blue Cross Blue Shield $3 - $13 44%
First Choice Stratose $3 - $370 44%
Formost $3 - $393 44%
Humana $3 - $7 44%
Medicaid / KanCare $3 - $7 44%
Medicare (plans) $3 - $7 44%
Molina $3 - $7 44%
Molina Exchange $3 - $12 44%
Ms Dept Of Rehabilitation Services $3 - $462 44%
Node Champva $3 - $7 44%
Node Devoted Health Mcr Adv $3 - $7 44%
Node First Choice American Health Mcr Adv $3 - $7 44%
Node First Choice Seven Corners $3 - $12 44%
Node First Choice Shared Health Of Ms Mcr Adv $3 - $7 44%
Node Hospice Non Par Agree $3 - $7 44%
Node Va $3 - $7 44%
Node Vantage Health Mcr Adv $3 - $7 44%
One Health Plan $3 - $416 44%
Prime Health Services $3 - $370 44%
Tricare $3 - $6 44%
Usa Mco $3 - $393 44%
Veterans Eval Services $3 - $7 44%
Node First Choice Wellcare Mcr Adv $4 - $7 58%
Node Healthy Mississippi Mcr Adv $4 - $8 58%
Node Us Dept Of Labor $4 - $9 58%
First Choice Preferred $5 - $10 73%
Node First Choice Occunet $5 - $10 73%
Caresource Truecare $6 87%
Magnolia Exchange $6 - $12 87%
Magnolia Mcd Chip $6 87%
Molina Chip $7 102%
First Choice Lgp $8 - $15 116%
Vantage Health Commercial $8 - $16 116%
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: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals