CMS Price Transparency Data

Blood test, lipase

Facility: Leconte Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Leconte Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 742 Middlecreek Road, Sevierville, TN.
Cash / Self-Pay
$17

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: $17 (247%)
Insurance Median: $10 (145%)
Cash: $17 (247% 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
Wellpoint $3 - $8 44%
UnitedHealthcare $4 - $8 58%
Tricare $7 102%
Aetna $8 - $10 116%
Blue Cross Blue Shield $8 - $15 116%
Cigna $8 - $15 116%
Devoted Health $8 116%
Farm Bureau $8 116%
Humana $8 116%
Wellcare $8 116%
Ehn $18 - $31 261%
Correctional Medical Services $23 - $41 334%
Community Services Network $25 - $45 363%
Usa Managed Care Organization $27 - $48 392%
Novanet $29 - $52 421%
Direct Care America $31 - $55 450%
Medsave Usa $31 - $55 450%
National Provider Network $31 - $55 450%
Beech Street $33 - $59 479%
Ccn Managed Care $33 - $59 479%
Initial Group $34 - $61 493%
Galaxy Health Network $35 - $62 508%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 742 Middlecreek Road, Sevierville, TN 37862
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals