CMS Price Transparency Data

Blood test, lipase

Facility: Physicians Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Physicians Regional Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$63

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $63 (914%)
Insurance Median: $8 (116%)
Cash: $63 (914% of Medicare)
Ins. Median: $8 (116% 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 - $7 44%
Amerigroup Community Care $3 44%
Medicaid / KanCare $4 58%
UnitedHealthcare $4 - $283 58%
Tricare $6 87%
Aetna $7 - $25 102%
Blue Cross Blue Shield $7 - $55 102%
Department Of Veterans Affairs $7 102%
Humana $7 102%
Medicare (plans) $7 102%
Node Bluecare Plus Tn Mcr Adv $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%
Veterans Eval Services $7 102%
Wellcare $7 102%
Node Us Dept Of Labor $9 131%
Us Department Of Labor $9 131%
Novanet Work Comp Tn $10 145%
Occunet Work Comp Tn $10 145%
Tn Work Comp $10 145%
Cigna $11 160%
Ambetter / Centene $13 189%
Node Point Comfort Underwriters $13 189%
Self Pay $62 - $64 900%
Multiplan $153 - $201 2221%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals