CMS Price Transparency Data

Blood test, lipase

Facility: Erlanger Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $208
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Erlanger Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.
Cash / Self-Pay
$208

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: $208 (3019%)
Insurance Median: $10 (145%)
Cash: $208 (3019% 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
Humana $2 - $13 29%
Amerigroup $3 - $12 44%
UnitedHealthcare $3 - $10 44%
Blue Cross Blue Shield $5 - $314 73%
Bluecard - Network P $5 - $19 73%
Bluecard - Network S $5 - $19 73%
Aetna $7 - $193 102%
Alexian $7 - $20 102%
American Health $7 102%
Bluecare $7 - $38 102%
Caresource $7 - $14 102%
Cigna $7 - $177 102%
Clover $7 102%
Devoted Health $7 - $15 102%
Nhc $7 102%
Upmc $7 102%
Wellpoint $7 102%
Atrio Health $8 - $18 116%
Ambetter / Centene $9 131%
Caresource Ga $10 - $18 145%
Caresource Nc $10 - $18 145%
Caresource Tn $10 - $18 145%
Pnoa $17 247%
Point Comfort Underwriters $18 261%
Pruitthealth Premier $21 305%
Olympus $216 - $295 3135%
Alliant $295 4282%
First Health $314 - $334 4557%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 E 3Rd St, Chattanooga, TN 37403
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals