CMS Price Transparency Data

Blood test, lipase

Facility: Colleton Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $9
  • Cash Discount Price: $478
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Colleton Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $478. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$478

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: $478 (6938%)
Insurance Median: $9 (131%)
Cash: $478 (6938% 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
Humana $6 - $447 87%
Absolute Total Care $7 - $89 102%
Aetna $7 - $288 102%
Arcadian $7 102%
Blue Cross Blue Shield $7 - $472 102%
Boldage Pace $7 102%
Cigna $7 - $321 102%
Clover $7 102%
Devoted Health $7 102%
Eon Health $7 102%
Molina $7 - $21 102%
Odyssey Hospice $7 102%
United $7 - $264 102%
United Behavioral Health $7 102%
Wellcare $7 102%
Align Networks $8 116%
Universal Healthcare Group $8 116%
Blue Choice $9 131%
Corvel Corporation $9 131%
Employer'S Health Network $9 131%
Prime Health $9 - $422 131%
Heritage Summit $10 145%
Seven Corners $12 174%
Select Health $13 189%
Medical Development $14 203%
Naphcare $14 203%
Sc State Employees $21 - $24 305%
Blue Choice Health Plan $71 - $74 1030%
Nhc Advantage $94 1364%
Pruitt Health $94 1364%
Employers Health Network $224 3251%
Value Option $248 3599%
Vocational Rehab $268 3890%
Medcost $280 - $363 4064%
Mhnet $373 5414%
Evernorth $398 5776%
Multiplan $422 6125%
North American Administrators $422 6125%
First Health $447 6488%
Novanet $447 6488%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals