CMS Price Transparency Data

Blood test, lipase

Facility: Hancock County Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $36
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 5.22x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Hancock County Hospital is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 5.22x the Medicare baseline. Located in 1519 Main Street Hwy 33, Sneedville, TN.
Cash / Self-Pay
$12

Average discount available for prompt cash payment at this facility.

Insurance Median
$36

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: $12 (174%)
Insurance Median: $36 (522%)
Cash: $12 (174% of Medicare)
Ins. Median: $36 (522% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 522% of the Medicare baseline (a markup of 422%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $5 - $36 73%
Aetna $6 - $36 87%
Blue Cross Blue Shield $6 - $38 87%
Molina Healthcare $6 - $38 87%
Optima Health $6 87%
Sentara Health $13 - $36 189%
Amerigroup $14 - $36 203%
Cigna $15 - $38 218%
Medcost $24 348%
Ambetter / Centene $36 522%
Managed Medicaire $36 522%
Medicare (plans) $36 522%
United Mine Workers Of America $36 522%
Wellcare $36 - $51 522%
Humana $37 537%
Devoted Health Plan $38 552%
Nhc Advantage $38 552%
First Health Coventry $41 595%
Seven Corners, Inc. $51 740%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1519 Main Street Hwy 33, Sneedville, TN 37869
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals