CMS Price Transparency Data

Blood test, lipase

Facility: Albany Medical Center Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Albany Medical Center Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$12

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: $12 (174%)
Insurance Median: $7 (102%)
Cash: $12 (174% 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
Blue Cross Blue Shield $4 - $44 58%
Blue Shield Highmark $4 - $14 58%
Cdphp $5 - $44 73%
Fidelis $5 - $178 73%
Mvp $5 - $20 73%
Medicaid / KanCare $6 87%
Aetna $7 - $16 102%
Blue Shield $7 - $21 102%
Cigna $7 102%
Emblem Health Ghi $7 - $13 102%
Hamaspik $7 - $46 102%
Medicare (plans) $7 102%
Mvp Commercial $7 102%
Nascentia Health Options $7 102%
Tricare $7 102%
UnitedHealthcare $7 - $238 102%
Emblem $8 - $13 116%
Empire Plan Nyship $8 116%
Nascentia $8 116%
Magnacare $11 - $238 160%
Multiplan $12 - $252 174%
Emblem_Ghi $13 189%
Mvp Essential Plan $42 610%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals