CMS Price Transparency Data

Blood test, lipase

Facility: Bertrand Chaffee Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Bertrand Chaffee Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$10

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: $10 (145%)
Insurance Median: $7 (102%)
Cash: $10 (145% 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 $5 73%
Senior Blue - Bc $5 73%
Comm Blue Essential $6 87%
Community Blue $6 87%
Community Care - Bc $6 87%
Fidelis Care Of New York $6 87%
Fidelis Essential Plans $6 87%
Ghi Medical $6 87%
Gowanda Correctional Fac $6 87%
Iha Essential Plans $6 87%
Iha Medisource $6 87%
Medicaid / KanCare $6 87%
Molina Essential Plan $6 87%
Molina Heathcare Of Wny $6 87%
Seneca Nation Health Dept $6 87%
United Hc - Community Pln $6 87%
United Hc Essential Plan $6 87%
Univera Essential Plans $6 87%
Univera Hc Child Health+ $6 87%
Univera Hc Myhealth $6 87%
Univera Hc Myhealth+ $6 87%
Univera Plus Med $6 87%
Yourcare $6 87%
Advantra-Mcr Advantage $7 102%
Aetna $7 - $12 102%
Centers Plan Hlty Living $7 102%
Champva $7 102%
Cigna $7 - $12 102%
Ctrs Plan For Hlthy Livng $7 102%
Geisinger Health Plan $7 102%
Humana $7 102%
Iha $7 102%
Iha Custom Coverage $7 102%
Iha Encompass 65 $7 102%
Lifetime Benefits $7 102%
Medicare (plans) $7 102%
Mutual Of Omaha $7 102%
Nova Healthcare $7 102%
Optimum Healthcare - Mcr $7 102%
Todays Option - Amer Prog $7 102%
Tricare $7 102%
United Hc Mcr Solutions $7 102%
UnitedHealthcare $7 102%
Univera Senior Choice $7 102%
Wellcare $7 102%
Univera Healthcare $8 116%
Private Pay $10 145%
American Progressive Ins. $12 174%
Commercial / Misc $12 174%
Global Excel Mgt $12 174%
Guardian Life Ins. Co. $12 174%
Mvp Commercial $12 174%
No Amer Meritian Health $12 174%
No-Fault $12 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals