CMS Price Transparency Data

Blood test, lipase

Facility: Ohio State University State Health System

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $24
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.48x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Ohio State University State Health System is $24. 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 3.48x the Medicare baseline. Located in 410 West 10Th Avenue, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $24 (348%)
Ins. Median: $24 (348% 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 348% of the Medicare baseline (a markup of 248%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $7 - $47 102%
Blue Cross Blue Shield $7 - $57 102%
Buckeye Community $7 - $11 102%
Caresource $7 - $11 102%
Healthspan $7 - $28 102%
Humana $7 - $49 102%
Medicare (plans) $7 102%
Medigold $7 102%
Mmo $7 - $8 102%
Molina $7 - $12 102%
United $7 102%
Upper Ohio Valley $7 - $39 102%
Osu Health Plan $18 - $30 261%
Ohio Ppo $22 - $26 319%
Odrc $24 348%
Ohiohealth $38 - $44 552%
Lifetrac $40 581%
Cigna $41 595%
Frontpath $47 682%
Multiplan $47 682%
Healthsmart $53 769%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 410 West 10Th Avenue, Columbus, OH 43210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals