CMS Price Transparency Data

Blood test, lipase

Facility: Tristar Centennial Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $674
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Tristar Centennial Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $674. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.
Cash / Self-Pay
$674

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: $674 (9782%)
Insurance Median: $10 (145%)
Cash: $674 (9782% 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 44%
Aetna $5 - $337 73%
Ambetter / Centene $7 102%
American Health Advantage $7 102%
Amerigroup $7 102%
Blue Cross Blue Shield $7 - $39 102%
Bright Health $7 - $8 102%
Devoted Health Plan $7 102%
Evergreen Hmo $7 102%
Healthspring $7 102%
Humana $7 - $438 102%
Odyssey Healthcare $7 102%
Sarah Cannon Research $7 102%
Signature Advantage $7 102%
United $7 - $303 102%
United Behavioral Health $7 102%
Wellcare $7 102%
Zing $7 102%
Atrio Golden Times $8 116%
Corvel Corporation $10 145%
Novanet $10 145%
Prime Health $10 - $593 145%
Cigna $12 - $539 174%
Oscar $21 305%
Kentucky Labor Cabinet $124 1800%
Apex Health $128 1858%
Nhc Advantage, Inc. $128 1858%
Pruitt Health (Allyalign) $128 1858%
Tennessee Donor Services $183 2656%
Centurion $277 4020%
Emerging Therapy Solutions $330 - $451 4790%
Bgfh Singlesource $337 - $572 4891%
Value Option $337 4891%
Multiplan $370 5370%
Southern Health Partners $404 5864%
Employers Health Network $471 6836%
Mhnet $505 7329%
Odom'S Tn Pride Sausage $505 7329%
Compsych $539 7823%
Beech Street $593 8607%
UnitedHealthcare $599 - $674 8694%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2300 Patterson Street, Nashville, TN 37203
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals