CMS Price Transparency Data

Blood test, lipase

Facility: Carepartners Rehabilitation Hospital, Lllp

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $46
  • Cash Discount Price: $113
  • vs. Medicare Baseline: 6.68x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Carepartners Rehabilitation Hospital, Lllp is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 6.68x the Medicare baseline. Located in 68 Sweeten Creek Rd, Asheville, NC.
Cash / Self-Pay
$113

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

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: $113 (1640%)
Insurance Median: $46 (668%)
Cash: $113 (1640% of Medicare)
Ins. Median: $46 (668% 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 668% of the Medicare baseline (a markup of 568%). 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 - $74 102%
Alignment Health $7 102%
Cigna $7 102%
Devoted Health $7 102%
Humana $7 102%
Provider Partners Health Plan $7 102%
Troy Healthcare $7 102%
United $7 - $67 102%
Wellcare $7 - $68 102%
Amerihealth Caritas $8 116%
Healthteam Advantage $8 116%
Longevity Health Plan $8 116%
Amerihealth $9 131%
Ambetter / Centene $12 174%
Apex Health $23 334%
Blue Cross Blue Shield $46 - $66 668%
Oscar $61 885%
Caresource $68 987%
Medcost $81 1176%
Multiplan $93 1350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 68 Sweeten Creek Rd, Asheville, NC 28803
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL