CMS Price Transparency Data

Blood test, lipase

Facility: Sunrise Hospital and Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Sunrise Hospital and Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$58

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $58 (842%)
Insurance Median: $7 (102%)
Cash: $58 (842% of Medicare)
Ins. Median: $7 (102% 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
Aetna $1 - $11 15%
Blue Cross Blue Shield $3 - $9 44%
Cigna $3 - $18 44%
United $3 - $186 44%
Community Care Health $4 - $5 58%
Humana $4 - $10 58%
Molina Healthcare $4 - $5 58%
Sierra Hpn $4 - $5 58%
Ambetter / Centene $5 - $7 73%
Amerigroup $5 73%
Caresource $5 73%
Health Plan Nevada $5 73%
Molina $5 73%
Silver Summit $5 73%
Alignment Health Plan $7 102%
Caremore $7 102%
Health Net $7 102%
Health Services Coalition $7 102%
Hometown Health Mcr $7 102%
Select Health $7 - $205 102%
Sierra $7 - $9 102%
Triwest Healthcare Alliance $7 102%
Imperial Nv $8 116%
Universal Healthcare $8 116%
Legacy Provider Network $21 305%
Comp-Med Workers Comp $22 319%
Corvel $22 - $24 319%
Olympus Medsave Usa $23 - $666 334%
Prominence Healthfirst $26 - $266 377%
Cmn Global $36 - $373 522%
Hometown Health Providers $43 - $444 624%
Nv Health & Welfare Trust $52 - $533 755%
Multiplan $54 - $648 784%
First Health $57 - $710 827%
Medcare International $64 - $666 929%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals