CMS Price Transparency Data

Blood test, lipase

Facility: Mayaguez Medical Center Dr Ramon Emeterio Betances

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $9
  • Cash Discount Price: $28
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Mayaguez Medical Center Dr Ramon Emeterio Betances is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in Carr 2 Bo Sabalos, Mayaguez, PR.
Cash / Self-Pay
$28

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: $28 (406%)
Insurance Median: $9 (131%)
Cash: $28 (406% 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
Acaa $7 102%
Plan Vital $7 - $10 102%
International Medical Card $8 116%
Medicare (plans) $8 116%
Triple S $8 - $9 116%
Fondo Seguro Estado $9 131%
Mmm $9 131%
Prossam $9 131%
Humana $10 145%
Privado $10 145%
McS Classicare $12 174%
Medical Card System $12 174%
Palic $12 174%
Mapfre $15 218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 2 Bo Sabalos, Mayaguez, PR 00682
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals