CMS Price Transparency Data

Blood test, lipase

Facility: University Hospitals Conneaut Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $132
  • Cash Discount Price: $178
  • vs. Medicare Baseline: 19.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at University Hospitals Conneaut Medical Center is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 19.16x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$178

Average discount available for prompt cash payment at this facility.

Insurance Median
$132

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: $178 (2583%)
Insurance Median: $132 (1916%)
Cash: $178 (2583% of Medicare)
Ins. Median: $132 (1916% 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 1916% of the Medicare baseline (a markup of 1816%). 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
Blue Cross Blue Shield $3 - $225 44%
University Health Employee Plan (Contigo) $10 145%
Aetna $17 - $131 247%
UnitedHealthcare $58 - $73 842%
Cigna $73 - $175 1060%
Devoted $73 1060%
Humana $73 1060%
Medical Mutual Of Ohio $73 - $223 1060%
Molina $73 1060%
Primetime Health Plan $73 1060%
Summacare $73 - $121 1060%
The Health Plan $73 - $156 1060%
Wellcare By Allwell $73 1060%
Paramount $76 1103%
Perennial Advantage Of Ohio $77 1118%
Valor Health Plans $77 1118%
Amish Aid Community Plan $109 1582%
Amish Church Fund And Workers Aid Plan $109 1582%
Buckeye Plain Ministries $109 1582%
Jp Farley $111 1611%
Clarity $114 1655%
Christian Healthcare Ministries $118 1713%
Immergrun $118 1713%
Sunrise Plan Communities $118 1713%
Aultcare $130 1887%
Ambetter / Centene $132 1916%
Caresource $132 1916%
Healthsmart $154 2235%
Ohio Health Choice $154 - $213 2235%
Medical Mutual Traditional/Health Ohio $166 2409%
Beech Street $190 - $213 2758%
Ohio Preferred Network $190 - $213 2758%
First Health $197 2859%
Century Health Network $201 2917%
Private Healthcare System $204 2961%
Configurenet $213 3091%
Fortified Provider Network $213 3091%
Multiplan $213 3091%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals