CMS Price Transparency Data

Blood test, lipase

Facility: Jamaica Hospital Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $18
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Jamaica Hospital Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.
Cash / Self-Pay
$18

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: $18 (261%)
Insurance Median: $7 (102%)
Cash: $18 (261% 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
Ghi $6 - $7 87%
Healthfirst $6 87%
UnitedHealthcare $6 - $10 87%
Aetna $7 102%
Beacon Health Strategies $7 102%
Centerlight Healthcare $7 102%
Elderplan $7 102%
Empire $7 - $16 102%
Fidelis $7 102%
Hip $7 - $10 102%
Humana $7 102%
Metroplus $7 - $8 102%
Oscar $7 102%
Senior Whole Health $7 102%
Villagecaremax $7 102%
Vns $7 102%
Wellcare Of Ny $7 102%
Centers Plan For Healthy Living $8 116%
Hamaspik Choice $8 116%
Magnacare $8 116%
1999 National Benefit Fund $9 131%
Centivo $9 131%
World Trade Center Program $9 131%
Emblemhealth $11 160%
Cigna $12 174%
Empire Blue Priority $13 189%
Hotel Trades Council $1,912 27750%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 89Th Avenue and Van Wyck Expressway, Jamaica, NY 11418
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals