CMS Price Transparency Data

Blood test, lipase

Facility: Methodist Hospitals of Memphis

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Methodist Hospitals of Memphis is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 1265 Union Ave Suite 700, Memphis, TN.
Cash / Self-Pay
$21

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: $21 (305%)
Insurance Median: $7 (102%)
Cash: $21 (305% 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
UnitedHealthcare $3 - $52 44%
Medicaid / KanCare $6 - $10 87%
Molina Healthcare [350012] $6 - $8 87%
American Health Advantage Mcr Adv [450117] $7 102%
Blue Cross Blue Shield $7 - $34 102%
Carecentrix [450200] $7 102%
Cigna $7 102%
Devoted Health [450111] $7 102%
Generic Hospice Vbid [10940000101] $7 102%
Humana $7 102%
Medicare (plans) $7 102%
United Food & Commercial Workers [100309] $7 102%
Va Hospital [600005] $7 102%
Select Specialty Hospital [100298] $9 131%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1265 Union Ave Suite 700, Memphis, TN 38104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals