CMS Price Transparency Data

Blood test, lipase

Facility: Indiana Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Indiana Regional Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $40 (581%)
Insurance Median: $10 (145%)
Cash: $40 (581% of Medicare)
Ins. Median: $10 (145% 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
Highmark $4 - $22 58%
Highmark Wholecare $5 - $7 73%
Tricare $6 - $122 87%
UnitedHealthcare $6 - $49 87%
Upmc Health Plan $6 - $57 87%
Aetna $7 - $21 102%
Ambetter / Centene $7 102%
Amerihealth Caritas $7 102%
Cigna $7 - $22 102%
Geisinger Health Plan $7 102%
Humana $7 102%
Medicare (plans) $7 102%
United Mine Workers Of America $7 102%
Geisinger $10 - $19 145%
Pa Health And Wellness Commercial $10 - $19 145%
Department Of Human Services And Torrance State Hospital $66 - $77 958%
Premier Comp Solutions, Llc $94 - $110 1364%
Miscellaneous Commercial $105 - $122 1524%
Pa Workers Compensation $105 - $122 1524%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals