CMS Price Transparency Data

Blood test, lipase

Facility: Mercy Health Rehabilitation Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $148
  • Cash Discount Price: $148
  • vs. Medicare Baseline: 21.48x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Mercy Health Rehabilitation Hospital is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $148. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 21.48x the Medicare baseline. Located in 3180 Belmont Ave, Youngstown, OH.
Cash / Self-Pay
$148

Average discount available for prompt cash payment at this facility.

Insurance Median
$148

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: $148 (2148%)
Insurance Median: $148 (2148%)
Cash: $148 (2148% of Medicare)
Ins. Median: $148 (2148% 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 2148% of the Medicare baseline (a markup of 2048%). 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
Medical Mutual Nas $26 - $114 377%
Aultcare $32 - $141 464%
Multiplan $39 - $174 566%
Aetna $47 - $207 682%
Ambetter / Centene $47 - $207 682%
Blue Cross Blue Shield $47 - $207 682%
Caresource Exchange $47 - $207 682%
Cigna $47 - $207 682%
Devoted $47 - $207 682%
Highmark Ppo Commercial $47 - $207 682%
Highmark Ppo Exchange $47 - $207 682%
Humana $47 - $207 682%
Medicaid / KanCare $47 - $207 682%
Medical Mutual Exchange $47 - $207 682%
Medical Mutual Medflex $47 - $207 682%
Medical Mutual New Biz $47 - $207 682%
Medical Mutual Supermed Commercial $47 - $207 682%
Medical Mutual Traditional Commercial $47 - $207 682%
Medicare (plans) $47 - $207 682%
Molina Exchange $47 - $207 682%
UnitedHealthcare $47 - $207 682%
Upmc $47 - $207 682%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3180 Belmont Ave, Youngstown, OH 44505
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL