CMS Price Transparency Data

Blood test, lipase

Facility: Hospital Pavia Arecibo

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Hospital Pavia Arecibo is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in Carretera 129 Km.1 Avenida San Luis, Arecibo, PR.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $94 (1364%)
Insurance Median: $8 (116%)
Cash: $94 (1364% of Medicare)
Ins. Median: $8 (116% 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
Aarp $6 87%
Acaa $6 87%
Mso $6 - $8 87%
First Medical $7 102%
Plan Auxilio Mutuo $7 102%
Plan De Salud Menonita $7 - $8 102%
Triple S $7 - $9 102%
Bl $8 116%
Mapfre $8 116%
Mcs $8 - $9 116%
Privado $8 116%
Ch $9 131%
Fondo Del Seguro Estado $9 131%
Humana $9 131%
Prossam $9 131%
Tricare $9 131%
Va $9 131%
Auxilio Platino $10 145%
Comerciales $10 145%
Hospicio $10 145%
Mc $10 145%
Medicare (plans) $10 145%
Cigna $12 174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carretera 129 Km.1 Avenida San Luis, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals