CMS Price Transparency Data

Blood test, lipase

Facility: Novant Health Brunswick Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $108
Cash Discount Price: $96
vs. Medicare Baseline: 15.67x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Novant Health Brunswick Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 15.67x the Medicare baseline. Located in 1 Medical Center Dr Po Box 139, Supply, NC.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $96 (1393%)

Insurance Median: $108 (1567%)

Cash: $96 (1393% of Medicare)

Ins. Median: $108 (1567% 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 1567% of the Medicare baseline (a markup of 1467%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$7 - $170	102%
Humana	$7 - $203	102%
Pace Of The Southern Piedmont	$7	102%
UnitedHealthcare	$7 - $145	102%
Aetna	$8 - $201	116%
Cigna	$8 - $131	116%
Liberty Health	$8	116%
New Hanover Health Advantage	$8	116%
Nc Department Of Public Safety	$15 - $33	218%
Ambetter / Centene	$17	247%
Amerihealth	$21 - $34	305%
Carolina Complete	$21 - $33	305%
Wellcare	$21 - $34	305%
Caresource North Carolina	$58 - $94	842%
Atlantic Corporation Dba Atlantic Packaging	$79 - $127	1147%
Amps	$80 - $130	1161%
Plotkin Health	$88 - $142	1277%
Medcost	$110 - $198	1597%
Transformhealth	$117 - $189	1698%
Multiplan	$131 - $212	1901%
Phcs	$131 - $212	1901%
Employers Choice Network	$142 - $229	2061%
Three Rivers Provider Network	$142 - $229	2061%

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 $96.
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 Novant Health Brunswick Medical Center 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.