CMS Price Transparency Data

Blood test, lipase

Facility: Mid-Columbia Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $60
  • Cash Discount Price: $55
  • vs. Medicare Baseline: 8.71x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Mid-Columbia Medical Center is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 8.71x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$55

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

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: $55 (798%)
Insurance Median: $60 (871%)
Cash: $55 (798% of Medicare)
Ins. Median: $60 (871% 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 871% of the Medicare baseline (a markup of 771%). 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 $7 - $365 102%
Community Hp Mcr Adv - All Plans $7 102%
Healthnet Mcr Adv $7 102%
Humana $7 102%
Moda Mcr Adv $7 102%
Molina Mcr Adv $7 102%
Tricare $7 102%
Va Ccn Triwest - All Plans $7 102%
Molina - All Other Plans $8 116%
Pacific Source - All Plans $8 116%
Employee Health Plan - All Plans $12 174%
Norocor - All Plans $57 827%
Amerigroup Mcaid - All Plans $60 871%
Coordinated Care Mcaid - All Plans $60 871%
Molina Mcaid $60 871%
UnitedHealthcare $60 - $109 871%
Moda Health Plan - All Other Plans $76 1103%
Healthscape - All Plans $92 1335%
First Health - All Plans $102 1480%
Coventry - All Plans $103 1495%
Aetna $106 1538%
Cigna $108 1567%
First Choice - All Plans $109 1582%
Multiplan/Phcs - All Plans $109 1582%
Providence Ppo - All Plans $109 1582%
Trpn - Three Rivers - All Plans $109 1582%
Ahp - Americas Hlth Plan - All Plans $111 1611%
Devoted Mcr Adv - All Plans $124 1800%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals