CMS Price Transparency Data

Blood test, lipase

Facility: Blount Memorial Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $13
Cash Discount Price: $40
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Blount Memorial Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.89x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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: $40 (581%)

Insurance Median: $13 (189%)

Cash: $40 (581% of Medicare)

Ins. Median: $13 (189% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$3 - $9	44%
Golden Rule Insurance Company [2991]	$4	58%
Oxford Health Plans [2992]	$4	58%
UnitedHealthcare	$4 - $9	58%
Cigna	$6 - $9	87%
Mvp Health Care [3037]	$6	87%
Tricare	$6	87%
Blue Cross Blue Shield	$7 - $35	102%
Humana	$7	102%
Medicare (plans)	$7	102%
Ambetter / Centene	$11	160%
Consociate Health Contracted [4835]	$15	218%
Fairos/Occunet Contracted [4837]	$16	232%
Prisma Health Seniorcare Pace - Midlands [5400]	$30	435%
Prisma Health Seniorcare Pace-Upstate [5200]	$30	435%
Promise Health Plan Contracted [2401]	$46 - $78	668%
Orangeburg Senior Helping Center Pace [5401]	$52	755%
Bob Jones Univ-Pai [821]	$78	1132%
Preferred Administrators Contracted [2839]	$91	1321%
Medcost [2940]	$96 - $108	1393%
Atlantic Packaging Contracted [4833]	$98	1422%
Aps Healthcare System [2981]	$104	1509%
Multiplan/Phcs Contracted [2950]	$116	1684%
Aetna	$117	1698%
Meritain Health Contracted [2200]	$117	1698%
Nippon [2300]	$117	1698%
Vsp Vision Care [2986]	$117	1698%
First Health Contracted [2952]	$121	1756%
Furman Int/Allen University Student [2951]	$121	1756%
Quiktrip-First Health [3067]	$121	1756%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $40.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Blount Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.