CMS Price Transparency Data

Blood test, lipase

Facility: St Catherine of Siena Hospital

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 Catherine of Siena Hospital 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 50 Route 25A, Smithtown, 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%
Beacon Health Options $6 - $20 87%
Beacon Health Strategies $6 - $10 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 - $106 261%
Cigna $18 - $99 261%
Daniel H Cook $18 261%
Nalc $18 261%
Samba $18 261%
Self Pay $25 363%
Local 1199 $36 522%
Oscar Health $62 900%
Allied Wellfare Fund $99 1437%
American Group Administrators $99 1437%
Bakery & Confectionery Union $99 1437%
Comprehensive Benefits Consultant $99 1437%
Guardian Life Insurance Company Of America $99 1437%
Maloney And Assoc $99 1437%
Multiplan $99 1437%
Performax $99 1437%
Phcs $99 1437%
Pomco $99 1437%
Tpa Inc $99 1437%
Unicare $99 1437%
United Employees Health Plan $99 1437%
Coventry $112 - $122 1626%
Magellan $122 1771%
Galaxy $137 1988%
Three Rivers Provider Network $137 1988%
Aither Health $152 2206%
Alpha Care $152 2206%
Dentaquest $152 2206%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 50 Route 25A, Smithtown, NY 11787
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals