CMS Price Transparency Data

Blood test, lipase

Facility: Ochsner Watkins Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $13
Cash Discount Price: $73
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Ochsner Watkins Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.89x the Medicare baseline. Located in 605 South Archusa Avenue, Quitman, MS.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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: $73 (1060%)

Insurance Median: $13 (189%)

Cash: $73 (1060% of Medicare)

Ins. Median: $13 (189% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$3 - $63	44%
Humana	$5 - $63	73%
Medicaid / KanCare	$6 - $7	87%
Cigna	$7 - $63	102%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$7 - $64	102%
Medicare (plans)	$7 - $73	102%
Primewell Health Services Commercial Exchange Plan	$7 - $89	102%
Primewell Health Services – Commercial	$7 - $89	102%
Shared Health Mississippi	$7 - $66	102%
Prime Health Services Ppo	$8 - $87	116%
Ambetter / Centene	$10 - $64	145%
Blue Cross Blue Shield	$12 - $87	174%
Cor Vel	$12	174%
Prime Health Services Ppo -Workers Comp	$12	174%
Aetna	$13 - $71	189%
Zelis	$16 - $82	232%
Claritev D/B/A Multiplan/Phcs/American Life Care	$17 - $82	247%
Select Administrative Services Network	$29 - $76	421%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $73.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Watkins Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.