CMS Price Transparency Data

Blood test, lipase

Facility: Holzer Medical Center Jackson

Billing Code: 83690 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$19
about 2.7× the $7 Medicare rate · typically $7–$51
modeled estimate · not a bill or quote
Medicare pays $7 Fair price $19 Cash price $52 Hospital's list price $103

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $19 - $67 276%
Blue Cross Blue Shieldmajor $22 - $60 319%
Aetnamajor $21 - $67 305%
Cignamajor $75 1089%
Humanamajor $19 - $93 276%
CareSource $42 610%
+ 8 smaller / regional plans $67 - $98
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 500 Burlington Road, Jackson, OH 45640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals