CMS Price Transparency Data

Blood test, lipase

Facility: Fisher-Titus Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $49
Cash Discount Price: $63
vs. Medicare Baseline: 7.11x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Fisher-Titus Hospital is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 7.11x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.

Cash / Self-Pay

$63

Average discount available for prompt cash payment at this facility.

Insurance Median

$49

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: $63 (914%)

Insurance Median: $49 (711%)

Cash: $63 (914% of Medicare)

Ins. Median: $49 (711% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 711% of the Medicare baseline (a markup of 611%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$3 - $64	44%
Aetna	$7 - $61	102%
Amerihealth	$7	102%
Buckeye	$7	102%
Caresource	$7	102%
Medical Mutual Of Ohio	$7 - $41	102%
Molina	$7	102%
Paramount	$7 - $63	102%
Perennial Advantage	$7	102%
Sidecar	$7 - $49	102%
Summacare	$7 - $62	102%
UnitedHealthcare	$7 - $64	102%
Valor Health	$7	102%
Wellcare	$7	102%
Zing Health	$7	102%
Health Ohio Network	$49	711%
Tricare	$52 - $56	755%
Cigna	$56	813%
Claimsdoc	$56	813%
First Health	$63	914%
Multiplan	$63	914%
Ohio Health Choice	$63	914%
Healthscope	$64	929%
Emerald Health	$68	987%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $63.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fisher-Titus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.