CMS Price Transparency Data

Blood test, lipase

Facility: Bmh-Calhoun

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $52
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 7.55x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Bmh-Calhoun is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 7.55x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$35

Average discount available for prompt cash payment at this facility.

Insurance Median
$52

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: $35 (508%)
Insurance Median: $52 (755%)
Cash: $35 (508% of Medicare)
Ins. Median: $52 (755% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 755% of the Medicare baseline (a markup of 655%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Molina $7 - $53 102%
Veterans Evaluation Services $7 102%
Blue Cross Blue Shield $12 - $30 174%
Ppo Holdings $25 363%
Magnolia Regional Health Center $27 392%
Tricare $27 392%
Devoted Health $29 421%
Ms Breast And Cervical $29 421%
Triwest $29 421%
Vaccn $29 421%
Aetna $30 - $44 435%
American Health Plan $30 435%
Humana $30 - $54 435%
Primewell $30 435%
Shared Health $30 435%
Magnolia Ms $33 479%
Littler $34 493%
Cigna $37 537%
First Choice Health Plan Of Ms $43 624%
Burch Food Services $49 711%
First State Bank Trust $49 711%
Arlington Community Schools $52 755%
Armstrong Relocation $52 755%
Ashley Furniture Stores $52 755%
Bartlett City Schools $52 755%
Brimhall Foods $52 755%
Building Plastic $52 755%
Cannon Motor Company $52 755%
Carlisle $52 755%
City Of Bartlett $52 755%
City Of Lakeland $52 755%
Collierville Schools $52 755%
Crittenden County $52 755%
Davidson Hospitality $52 755%
Delta Industries $52 755%
Desoto Co Board Of Supervisors $52 755%
Dunn Investment Company $52 755%
Eas Mssc Schools $52 755%
First Community Bank $52 755%
French Camp Academy $52 755%
Gossett Motor Cars $52 755%
Hattiesburg Clinic $52 755%
Heartland Catfish Company $52 755%
Heavy Machines $52 755%
Hollowell Industries $52 755%
Hospitality Management Advisors $52 755%
Jas D Collier $52 755%
Lakeland School System $52 755%
Malco Theaters $52 755%
Mechanical Systems $52 755%
Mid-South Transport $52 755%
Minact $52 755%
Patterson Warehouses $52 755%
Radians $52 755%
Rei Nation $52 755%
Retzer Resources $52 755%
Ritchey Automotive $52 755%
Security One $52 755%
Silver Tree $52 755%
State Systems $52 755%
Town Of Collierville $52 755%
United Tn Holdings $52 755%
Vaughn Electric $52 755%
W G Yates $52 755%
W W Wood Products $52 755%
Watkins Uiberall $52 755%
Y K Auto Group $52 755%
Advanced Health Systems Inc. $54 784%
Christian Health Aid $54 784%
Ppo Plus $57 827%
Employers Health Network $58 842%
Harding Academy $58 842%
Multiplan $60 871%
Qca $60 871%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 140 Burke-Calhoun City Road, Calhoun City, MS 38916
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals