CMS Price Transparency Data

Blood test, lipase

Facility: Hospital San Francisco

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $9
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Hospital San Francisco is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$39

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $39 (566%)
Insurance Median: $9 (131%)
Cash: $39 (566% of Medicare)
Ins. Median: $9 (131% 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
Mso $6 - $9 87%
Bl $7 102%
First Medical $7 - $8 102%
Plan De Salud Menonita $7 - $8 102%
Aarp $8 116%
Comerciales $8 116%
Corvel Network $8 116%
Mpc-Pr Other Insurances $8 116%
Pr Other Insurances $8 116%
Triple S $8 - $9 116%
Western Medical Hospice $8 116%
Ch $9 131%
Fondo Del Seguro Estado $9 131%
Humana $9 - $10 131%
Mcs $9 - $11 131%
Medicare (plans) $9 131%
Mpc - Us $9 131%
Tricare $9 131%
UnitedHealthcare $9 131%
Us $9 131%
Acaa $10 145%
Cigna $10 145%
Medicaid / KanCare $10 145%
Prossam $10 145%
Va $10 145%
Mc $12 174%
Mapfre $15 218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals