CMS Price Transparency Data

Blood test, lipase

Facility: St Francis Hospital - the Heart Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at St Francis Hospital - the Heart Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 100 Port Washington Boulevard, Roslyn, NY.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $7 (102%)
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
Affinity Health Plan $6 - $13 87%
Centerlight Healthcare $6 - $7 87%
Elderplan Inc. $6 - $7 87%
Emblem Health $6 - $16 87%
Fidelis Care New York $6 - $13 87%
Health First $6 - $16 87%
Health Plus $6 - $13 87%
Independent Health $6 - $7 87%
Medicaid / KanCare $6 87%
Mvp Health Plans $6 - $18 87%
Senior Whole Health $6 - $7 87%
UnitedHealthcare $6 - $25 87%
Aetna $7 - $8 102%
Agewell New York $7 102%
Blue Cross Blue Shield $7 - $25 102%
Centers Plan For Healthy Living $7 102%
Healthspring $7 102%
Humana $7 102%
Liberty Health $7 102%
Longevity Health Plan $7 102%
Medicare (plans) $7 102%
Orthonet - Uniformed Services Family Health Plan $7 102%
Partners Health Plan $7 102%
Pmc $7 102%
Surest $7 102%
Tricare $7 102%
Universal Healthcare $7 102%
Us Family Health Plan $7 102%
Veterans Affairs $7 102%
Mail Handlers Benefit Plan $8 116%
Meritain Health $8 116%
Nippon Life Insurance Company Of America $8 116%
Salvation Army $8 116%
Wellcare Health Plan Inc $8 116%
Zadroga $9 131%
Centivo $10 - $18 145%
American Plan Administrators $16 232%
Amerihealth Administrators $16 232%
Benefit Services $16 232%
Ghi Cbp Ny City Employee Alternate $16 232%
International Benefit Administrator $16 232%
Ultra Benefits Inc. $16 232%
Apwu $18 261%
Brighton $18 - $150 261%
Cigna $18 - $150 261%
Daniel H Cook $18 261%
Nalc $18 261%
Samba $18 261%
Self Pay $25 363%
Local 1199 $36 522%
Oscar Health $88 1277%
Allied Wellfare Fund $150 2177%
American Group Administrators $150 2177%
Bakery & Confectionery Union $150 2177%
Comprehensive Benefits Consultant $150 2177%
Guardian Life Insurance Company Of America $150 2177%
Maloney And Assoc $150 2177%
Multiplan $150 2177%
Performax $150 2177%
Phcs $150 2177%
Pomco $150 2177%
Tpa Inc $150 2177%
Unicare $150 2177%
United Employees Health Plan $150 2177%
Coventry $158 - $178 2293%
Galaxy $193 2801%
Three Rivers Provider Network $193 2801%
Aither Health $214 3106%
Alpha Care $214 3106%
Dentaquest $214 3106%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Port Washington Boulevard, Roslyn, NY 11576
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals