CMS Price Transparency Data

Blood test, lipase

Facility: Prisma Health Richland Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Prisma Health Richland Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 5 Medical Park, Columbia, SC.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $122 (1771%)
Insurance Median: $10 (145%)
Cash: $122 (1771% of Medicare)
Ins. Median: $10 (145% 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
Golden Rule Insurance Company [2991] $6 87%
Oxford Health Plans [2992] $6 87%
Tricare $6 87%
UnitedHealthcare $6 - $9 87%
Zzumr-Salt Lake City Ut [3169] $6 87%
Aetna $7 - $149 102%
Blue Cross Blue Shield $7 - $21 102%
Cigna $7 - $39 102%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $7 102%
Healthy Conn Prime-First Choice Vip Care [5300] $7 102%
Healthy Conn Prime-Molina Healthcare [5330] $7 102%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $7 102%
Humana $7 - $141 102%
Medicare (plans) $7 102%
Triwest Healthcare Alliance Vcp [902] $7 102%
Va Community Care Network-Vaccn [903] $7 102%
Medicaid / KanCare $9 - $10 131%
Bluechoice [810] $10 - $40 145%
Workers Comp [600] $10 145%
Ambetter / Centene $13 189%
Planned Administrators [820] $18 261%
Sc Dept Of Corrections [2998] $21 305%
Scdc-Sc Dept Of Corrections [7232] $21 305%
Evernorth Behavioral Contracted [2982] $39 566%
Prisma Health Seniorcare Pace - Midlands [5400] $44 639%
Prisma Health Seniorcare Pace-Upstate [5200] $44 639%
Promise Health Plan Contracted [2401] $66 - $113 958%
Orangeburg Senior Helping Center Pace [5401] $75 1089%
Bob Jones Univ-Pai [821] $113 1640%
Meritain Health Contracted [2200] $120 - $149 1742%
Preferred Administrators Contracted [2839] $132 1916%
Medcost [2940] $139 - $156 2017%
Atlantic Packaging Contracted [4833] $141 2046%
Nippon [2300] $149 2163%
Aps Healthcare System [2981] $150 2177%
Multiplan/Phcs Contracted [2950] $167 2424%
Vsp Vision Care [2986] $169 2453%
First Health Contracted [2952] $175 2540%
Furman Int/Allen University Student [2951] $175 2540%
Quiktrip-First Health [3067] $175 2540%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5 Medical Park, Columbia, SC 29203
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals