CMS Price Transparency Data

Blood test, lipase

Facility: Southern Hills Hospital and Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $466
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Southern Hills Hospital and Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $466. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$466

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: $466 (6763%)
Insurance Median: $7 (102%)
Cash: $466 (6763% 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%
Ambetter / Centene $5 - $7 73%
Caresource $5 73%
Community Care Health $5 73%
Molina Healthcare $5 73%
Sierra Hpn $5 73%
Alignment Health Plan $7 102%
Blue Cross Blue Shield $7 - $9 102%
Caremore $7 102%
Health Net $7 102%
Health Services Coalition $7 102%
Hometown Health Mcr $7 102%
Humana $7 102%
Select Health $7 - $107 102%
Sierra $7 102%
Triwest $7 102%
United $7 - $102 102%
Imperial Nv $8 116%
Universal Healthcare $8 116%
Cigna $18 261%
Corvel $24 348%
Olympus Medsave Usa $25 - $350 363%
Prominence Healthfirst $140 2032%
Cmn Global $196 2845%
Evernorth $233 3382%
Hometown Health Providers $233 3382%
Nv Health & Welfare Trust $280 4064%
Multiplan $294 - $340 4267%
First Health $308 - $373 4470%
Medcare International $350 5080%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals