CMS Price Transparency Data

Blood test, lipase

Facility: Hospital Metropolitano Dr Susoni

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Hospital Metropolitano Dr Susoni is $8. 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 1.16x the Medicare baseline. Located in Calle Palma Num 55, Arecibo, PR.
Cash / Self-Pay
$39

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: $39 (566%)
Insurance Median: $8 (116%)
Cash: $39 (566% 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 $7 102%
Bl $8 116%
Ch $8 116%
Comerciales $8 116%
First Medical $8 116%
Hospicio $8 116%
Humana $8 - $10 116%
Medicare (plans) $8 116%
Mso $8 116%
Plan De Salud Menonita $8 116%
Triple S $8 - $9 116%
Va $8 116%
Mcs $9 - $12 131%
Prossam $9 131%
Aetna $10 145%
Tricare $10 145%
Mc $12 174%
Cigna $13 189%
Mapfre $15 218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Calle Palma Num 55, Arecibo, PR 00612
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals