CMS Price Transparency Data

Blood test, lipase

Facility: Bay Area Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $82
Cash Discount Price: $102
vs. Medicare Baseline: 11.90x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Bay Area Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 11.90x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$102

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $102 (1480%)

Insurance Median: $82 (1190%)

Cash: $102 (1480% of Medicare)

Ins. Median: $82 (1190% 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 1190% of the Medicare baseline (a markup of 1090%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Southwest Oregon Ipa - All Plans	$6	87%
Healthnet Mcaid	$7	102%
Healthnet Mcr Adv	$7	102%
Moda Hlth Mcr Adv	$8	116%
Aetna	$9	131%
Moda Beacon - All Other Plans	$19	276%
Ods Ppo/Pos - All Plans	$27	392%
Providence Pebb	$27	392%
Nasomah Hlth Grp - All Plans	$82	1190%
Pacificsource - All Plans	$116	1684%
Moda Connexus/Synergy	$121	1756%
First Choice - All Plans	$124	1800%
Cigna	$125	1814%
Providence - All Other Plans	$126	1829%
Healthnet Comm- All Other Plans	$129	1872%
UnitedHealthcare	$129	1872%
Blue Cross Blue Shield	$487	7068%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $102.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bay Area Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.