CMS Price Transparency Data

Blood test, lipase

Facility: Trident Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $292
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Trident Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $292. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.
Cash / Self-Pay
$292

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: $292 (4238%)
Insurance Median: $10 (145%)
Cash: $292 (4238% 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
Humana $6 - $219 87%
Absolute Total Care $7 - $53 102%
Advantage Hospice $7 102%
Aetna $7 - $18 102%
Agape Hospice $7 102%
Arcadian $7 102%
Blue Cross Blue Shield $7 - $277 102%
Boldage Pace $7 102%
Cigna $7 102%
Clover $7 102%
Companion $7 102%
Devoted Health $7 102%
Eon Health $7 102%
Molina $7 - $21 102%
Odyssey Hospice $7 102%
United $7 - $131 102%
United Behavioral Health $7 102%
Wellcare $7 102%
Universal Healthcare Group $8 116%
Blue Choice $9 131%
Corvel Corporation $9 131%
Employer'S Health Network $9 131%
Prime Health $9 - $248 131%
Heritage Summit $10 145%
Seven Corners $12 174%
Select Health $13 189%
Naphcare $14 203%
Sc State Employees $21 305%
Blue Choice Health Plan $41 595%
Nhc Advantage $55 798%
Pruitt Health $55 798%
Medcost $112 - $164 1626%
Employers Health Network $131 1901%
Occunet $146 2119%
Vocational Rehab $158 2293%
First Health $213 3091%
Mhnet $219 3179%
Evernorth $234 3396%
Multiplan $248 3599%
Novanet $263 3817%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Medical Plaza Dr, Charleston, SC 29406
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals