CMS Price Transparency Data

Blood test, lipase

Facility: Excela Health Latrobe Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Excela Health Latrobe Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in One Mellon Way, Latrobe, PA.
Cash / Self-Pay
$12

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: $12 (174%)
Insurance Median: $7 (102%)
Cash: $12 (174% 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
Amerihealth Caritas $6 - $7 87%
Geisinger $6 - $7 87%
Health Partners Plans $6 87%
Highmark Advantage Community Blue $6 87%
Highmark Wholecare $6 - $8 87%
Pa Health And Wellness $6 - $7 87%
Upmc $6 - $7 87%
Aetna $7 - $16 102%
Cigna $7 - $10 102%
Devoted $7 102%
Health Partners Plan $7 102%
Humana $7 102%
Martin'S Point $7 102%
Peak Health $7 - $16 102%
The Health Plan Of West Virginia $7 - $16 102%
United $7 102%
Va $7 102%
American Health Plan Of Pa $8 116%
Highmark Children'S Health Insurance Program $8 116%
Provider Network Of America $8 - $16 116%
Provider Plan Partners Plan $8 116%
UnitedHealthcare $8 116%
Upmc For Kids Chip $8 116%
Upmc Health Plan $8 - $35 116%
Ambetter / Centene $9 131%
Highmark $9 - $15 131%
Velocity $10 145%
Community Blue $14 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Mellon Way, Latrobe, PA 15650
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals