CMS Price Transparency Data

Blood test, lipase

Facility: Tennova Healthcare - Clarksville

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $57
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Tennova Healthcare - Clarksville is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 651 Dunlop Lane, Clarksville, TN.
Cash / Self-Pay
$57

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $57 (827%)
Insurance Median: $7 (102%)
Cash: $57 (827% of Medicare)
Ins. Median: $7 (102% 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
Amerigroup $3 44%
UnitedHealthcare $3 - $7 44%
Medicaid / KanCare $4 - $7 58%
Aetna $5 - $7 73%
Tricare $6 87%
American Health $7 102%
Humana $7 102%
Medicare (plans) $7 102%
Node Amerigroup Mcr Adv $7 102%
Node Ascension Complete Mcr Adv $7 102%
Node Bluecare Plus Tn Mcr Adv $7 102%
Node Champva $7 102%
Node Devoted Health Mcr Adv $7 102%
Node Farm Bureau Mcr Adv $7 102%
Node Healthspring Mcr Adv $7 102%
Node Hospice Non Par Agree $7 102%
Node Nhc Mcr Adv $7 102%
Node Va $7 102%
Node Wellcare Mcr Adv $7 102%
Node Windsor Mcr Dual $7 102%
Veterans Eval Services $7 102%
Wellcare $7 102%
Cigna $9 - $11 131%
Node Us Dept Of Labor $9 131%
Corvel $10 145%
Novanet Work Comp Tn $10 145%
Prime Health Work Comp Tn $10 145%
Rockport Work Comp Tn $10 145%
Tn Work Comp $10 145%
Ambetter / Centene $13 189%
Node Valenz Access $14 203%
Naphcare $16 232%
Blue Cross Blue Shield $18 - $52 261%
Oscar $19 276%
Ky Work Comp $56 813%
Self Pay $57 827%
Center Care $190 2758%
Correct Care Solutions $263 3817%
First Health $263 3817%
Multiplan $278 4035%
Phcs $278 4035%
Prime Health Services $278 4035%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 Dunlop Lane, Clarksville, TN 37040
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals