CMS Price Transparency Data

Blood test, lipase

Facility: Jefferson Lansdale Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Jefferson Lansdale Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 100 Medical Campus Drive, Lansdale, PA.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $8 (116%)
Insurance Median: $7 (102%)
Cash: $8 (116% of Medicare)
Ins. Median: $7 (102% 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.

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 $5 - $7 73%
Medicare (plans) $5 - $8 73%
Keystone First $6 87%
Pa Health_Wellness Chc $6 87%
Aetna $7 - $18 102%
Cigna $7 - $10 102%
Devoted Health Participation $7 102%
Humana $7 102%
Innovage $7 102%
Inspira Life $7 102%
Jefferson Health Plan Aca Qhp Exchange $7 102%
Keystone First Vip Choice $7 102%
Medicaid / KanCare $7 - $9 102%
Point Of Comfort Refugee Resettlement $7 102%
Provider Partners Health Plan $7 102%
St Agnes $7 102%
Tricare $7 102%
UnitedHealthcare $7 - $10 102%
Allwell Pa Health_Wellness Ma $8 116%
Highmark Wholecare Gateway $8 116%
Perennial $8 116%
Ibc Employee Benefit $9 131%
Ibc Main Line Health $9 131%
Ambetter / Centene $10 145%
Upmc Commercial $10 145%
Naphcare $11 160%
Ibc $12 - $203 174%
Highmark $16 - $19 232%
Geisinger Health Plan $28 406%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 Medical Campus Drive, Lansdale, PA 19446
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals