CMS Price Transparency Data

Blood test, lipase

Facility: Maury Regional Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Maury Regional Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
$79

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: $79 (1147%)
Insurance Median: $7 (102%)
Cash: $79 (1147% 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 $4 - $7 58%
Wellpoint $4 - $7 58%
Blue Cross Blue Shield $5 - $29 73%
Wellpoint Tci $6 87%
Aetna $7 - $151 102%
American Health Plans $7 102%
Cigna $7 - $62 102%
Farm Bureau Health Plans $7 102%
Humana $7 102%
Medicare (plans) $7 102%
Nhc $7 102%
Wellcare Harmony Health $7 102%
Medrisk $10 145%
State Of Tennessee $10 145%
Ambetter / Centene $12 - $17 174%
Oscar $18 261%
Wayne County Jail $84 1219%
Lawrence County Jail $126 1829%
Lewis County Jail $126 1829%
Marshall County Jail $126 1829%
Beech Street $134 1945%
Multiplan $134 1945%
Phcs $134 1945%
Firsthealth $161 2337%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals