CMS Price Transparency Data

Blood test, lipase

Facility: Sisters of Charity Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Sisters of Charity Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 2157 Main Street, Buffalo, NY.
Cash / Self-Pay
$11

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: $11 (160%)
Insurance Median: $7 (102%)
Cash: $11 (160% 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
Iha First Choice [800001] $5 73%
Independent Health [100165] $5 - $7 73%
Crime Victims [100176] $6 87%
Excellus Rochester McD [350117] $6 87%
Independent Health Essential [100166] $6 87%
UnitedHealthcare $6 - $7 87%
Medicaid / KanCare $6 - $7 87%
Univera Healthcare Essential [100170] $6 - $7 87%
Beacon Essential [350122] $6 87%
Tuscarora Nation [550120] $6 87%
Cigna $7 - $8 102%
Blue Cross Blue Shield $7 - $13 102%
Tricare $7 102%
VA Veterans Affairs [700001] $7 102%
Covid19 Hrsa [45013] $7 102%
Wellcare [450129] $7 102%
Medicare (plans) $7 102%
Federal Workers Compensation [500100] $7 102%
Fidelis Dual Advantage [450120] $7 102%
Fallon Health [450115] $7 102%
Aetna $7 102%
Univera Healthcare [100169] $7 - $10 102%
Seneca Nation [450119] $7 102%
Hospice [550001] $7 102%
Catholic Health Life Pace [400005] $7 102%
Humana $7 102%
Wellcare Fidelis Dual [450451] $7 102%
Champ VA [700002] $7 102%
Fidelis Exchange [100164] $10 145%
Fidelis Essential [100163] $13 189%
Molina Essential [100167] $13 189%
Amerigroup [350102] $13 189%
Workers Compensation [500101] $15 218%
No Fault [114001] $15 218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2157 Main Street, Buffalo, NY 14214
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals