CMS Price Transparency Data

Blood test, lipase

Facility: Columbus Regional Healthcare System

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $77
  • Cash Discount Price: $90
  • vs. Medicare Baseline: 11.18x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Columbus Regional Healthcare System is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 11.18x the Medicare baseline. Located in 500 Jefferson St, Whiteville, NC.
Cash / Self-Pay
$90

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

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: $90 (1306%)
Insurance Median: $77 (1118%)
Cash: $90 (1306% of Medicare)
Ins. Median: $77 (1118% 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 1118% of the Medicare baseline (a markup of 1018%). 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
Aetna $7 - $125 102%
Blue Cross Blue Shield $7 - $83 102%
Cigna $7 - $122 102%
Devoted Health $7 102%
Humana $7 102%
Liberty $7 102%
Troy $7 102%
UnitedHealthcare $7 - $88 102%
Va Communicare Care $7 102%
Vaya Health $7 102%
Wellcare $7 - $29 102%
Molina $10 - $33 145%
Alliance $29 421%
Amerihealth $29 421%
Apex Health $29 421%
Cardinal $29 421%
Carolina Complete Health $29 421%
Healthy Blue $29 421%
Partners $29 421%
Sandhills $29 421%
Trillium $29 421%
Queens University $71 1030%
Ambetter / Centene $75 - $87 1089%
Oscar $84 - $94 1219%
Employers Health Network $85 - $96 1234%
Quicktrip $103 1495%
Multiplan $116 - $122 1684%
Choicecare $122 1771%
Healthgram $122 1771%
Medcost $122 1771%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 Jefferson St, Whiteville, NC 28472
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals