CMS Price Transparency Data

Blood test, lipase

Facility: Montefiore St Luke's Cornwall

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $11
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Montefiore St Luke's Cornwall is $11. 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 1.60x the Medicare baseline. Located in 70 Dubois Street, Newburgh, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $11 (160%)
Ins. Median: $11 (160% 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
Fidelis $5 - $7 73%
Aetna $6 - $11 87%
Blue Cross Blue Shield $6 - $224 87%
Cdphp $6 87%
Centerlight $6 87%
Emblem $6 - $227 87%
Hudson Valley $6 87%
Humana $6 87%
Mediblue $6 87%
Medicaid / KanCare $6 87%
Oscar $6 87%
Point Comfort $6 87%
UnitedHealthcare $6 - $8 87%
American Postal Workers $8 116%
Mvp $8 116%
Geha $11 160%
Meritain Health $11 160%
Nippon Life Insurance $11 160%
Northwell $16 232%
Healthfirst $17 247%
Cigna $57 - $63 827%
Centivo $179 2598%
Seiu1199 $213 3091%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 70 Dubois Street, Newburgh, NY 12550
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals