CMS Price Transparency Data

Blood test, lipase

Facility: Caromont Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $12
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Caromont Regional Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.74x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $202 (2932%)
Insurance Median: $12 (174%)
Cash: $202 (2932% of Medicare)
Ins. Median: $12 (174% 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
Avalon $4 58%
Humana $4 - $178 58%
UnitedHealthcare $4 - $26 58%
Aetna $7 - $75 102%
Blue Cross Blue Shield $7 - $67 102%
Devoted Health $7 102%
Healthteam $7 102%
Longevity Health $7 102%
Molina $7 - $8 102%
Absolute Total Care $8 116%
Corporate Benefits Service $8 116%
Carolina Complete Health $11 160%
Partners Behavioral Health $11 160%
Alliance Behavioral Health $12 174%
Amerihealth Caritas $12 174%
Carolina Complete Health Tailored Plans $12 174%
Surgery Plus $12 174%
Vaya Behavioral Health $12 174%
Wellcare $12 174%
Cigna $13 - $21 189%
Carolina Caring $17 - $160 247%
Gaston County Jail $23 334%
Medcost $77 1118%
Beech Street $166 2409%
Multiplan $166 2409%
Self Pay $182 2642%
First Health Network $192 2787%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals