CMS Price Transparency Data

Blood test, lipase

Facility: Neshoba County General Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $14
  • Cash Discount Price: $26
  • vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Neshoba County General Hospital is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 2.03x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$26

Average discount available for prompt cash payment at this facility.

Insurance Median
$14

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: $26 (377%)
Insurance Median: $14 (203%)
Cash: $26 (377% of Medicare)
Ins. Median: $14 (203% 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 203% of the Medicare baseline (a markup of 103%). 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
Magnolia Mcaid $6 87%
Molina Mcaid $6 87%
Mpcn Mcaid $6 87%
Tricare $6 87%
UnitedHealthcare $6 - $28 87%
Humana $7 102%
Magnolia Mcr Adv-All Other Plans $7 102%
Molina Comm-All Other Plans $7 102%
Molina Mcr Adv $7 102%
Wellcare Mcr Adv-All Plans $7 102%
Aetna $9 - $28 131%
First Choice Comm Ip/Op Only - All Plans $9 131%
Cigna $12 - $36 174%
Ahs Ip/Op Only-All Plans $14 - $41 203%
Blue Cross Blue Shield $14 - $44 203%
Affordable Health Care-All Plans $15 - $47 218%
Health Choice Ip/Op Only-All Plans $15 - $47 218%
Health Link Ip/Op Only-All Plans $15 - $47 218%
Geha-All Plans $16 - $50 232%
Multiplan-All Plans $16 - $50 232%
Mpcn Ip/Op Only-All Other Plans $22 - $69 319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL