CMS Price Transparency Data

Blood test, lipase

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $107
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 15.53x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Atlanticare Regional Medical Center - City Campus is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 15.53x the Medicare baseline. Located in 1925 Pacific Avenue, Atlantic City, NJ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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%)
Insurance Median: $107 (1553%)
Ins. Median: $107 (1553% 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 1553% of the Medicare baseline (a markup of 1453%). 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 $1 - $121 15%
Americhoice $1 15%
Amerigroup $1 15%
UnitedHealthcare $1 - $104 15%
Wellcare $1 15%
Ambetter / Centene $2 29%
Devoted Health Plan $7 - $73 102%
Oxford $7 - $110 102%
Global Exchange Managed Care $10 145%
Health Partners Plan $14 - $36 203%
Horizon $20 - $102 290%
Self Pay $22 319%
Magnacare $58 - $131 842%
Cigna $61 - $74 885%
Evernorth $73 1060%
Qualcare Commercial $73 1060%
Great West Life $74 1074%
Amerihealth $94 - $123 1364%
Active Care Plus $95 1379%
First Mco $95 1379%
Mutual Of Omaha $95 1379%
Qualcare Wc $95 1379%
Consumer Health Network (Chn) $102 - $131 1480%
Donio Trucking $102 1480%
Devon/ Ullicare $110 1597%
Coventry Health Care $117 1698%
Private Healthcare System (Phcs) $117 1698%
Blue Cross Blue Shield $120 1742%
Health Payors Org $124 1800%
Health South $124 1800%
Metrahealth Of Nj $124 1800%
Prime Health Services $124 1800%
Three Rivers Provider Network (Trpn) $124 1800%
Active Care Nj Pip $131 1901%
Beech Street $131 1901%
Choice Care $131 1901%
Department Of Corrections $131 1901%
Galaxy Health Network $131 1901%
Health Network Inc $131 1901%
Intergroup Preferred Program $131 1901%
Mcs Commercial $131 1901%
Metracomp $131 1901%
Multiplan $131 1901%
Provider Select, Inc $131 1901%
Atlantis Health Plan $135 1959%
Master Care Inc $135 1959%
Advance Healthcare System $139 2017%
Community Care Network $139 2017%
Health Network America $139 2017%
Mcsi/Mrsi No Fault $139 2017%
Mcsi/Mrsi Worker'S Comp $139 2017%
National Health Plan $139 2017%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1925 Pacific Avenue, Atlantic City, NJ 08401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals