CMS Price Transparency Data

Blood test, lipase

Facility: Ohio Valley Surgical Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $100
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 14.51x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Ohio Valley Surgical Hospital is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 14.51x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

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: $60 (871%)
Insurance Median: $100 (1451%)
Cash: $60 (871% of Medicare)
Ins. Median: $100 (1451% 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 1451% of the Medicare baseline (a markup of 1351%). 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
UnitedHealthcare $8 - $56,998 116%
Aetna $10 - $66,572 145%
Geha $10 - $66,572 145%
Genworth $10 - $66,572 145%
Mail Handlers $10 - $66,572 145%
Meritain $10 - $66,572 145%
Meritain Heatlh $10 - $66,572 145%
Mhbp $10 - $66,572 145%
Ngs Coresource $10 - $66,572 145%
Nippon Life $10 - $66,572 145%
Pacific Source $10 - $66,572 145%
Personify Health $10 - $66,572 145%
Blue Cross Blue Shield $17 - $98 247%
Mmoh $45 - $63 653%
Mmo Cin. Hmo $46 - $63 668%
Mmoh (Supermed) $46 668%
Medicare (plans) $50 - $100 726%
Molina $50 726%
Molina Marketplace $50 726%
Molina Mcr $50 726%
Self Pay Imaging $50 726%
Luminare Health $90 1306%
Medben $90 1306%
Ohio Health $90 1306%
Preferred Health $90 1306%
Aarp $100 1451%
Aarp Supplemental $100 1451%
American Republic $100 1451%
American Retirement $100 1451%
Aultcare Primetime Health Plan $100 1451%
Bankers Fidelity $100 1451%
Bankers Life And Casualty $100 1451%
Central States $100 1451%
Champus $100 1451%
Cigna $100 - $61,163 1451%
Communicare Advantage $100 1451%
Everest $100 1451%
Gateway Health Plan $100 1451%
Patient No Pay $100 1451%
Prosperity Supplement $100 1451%
Wellcare By Allwell $100 1451%
Wraparound Pl Supp $100 1451%
Humana $37,972 551118%
Employer Direct $39,525 573657%
Devoted Health $43,668 633788%
Healthgram $61,163 887707%
Nalc $61,163 887707%
Samba $61,163 887707%
Sbma $61,163 887707%
Unified Group $61,163 887707%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals