CMS Price Transparency Data

Blood test, lipase

Facility: Christus Southeast Texas- St Elizabeth

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $260
  • Cash Discount Price: $213
  • vs. Medicare Baseline: 37.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Christus Southeast Texas- St Elizabeth is $260. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 37.74x the Medicare baseline. Located in 2830 Calder Avenue, Beaumont, TX.
Cash / Self-Pay
$213

Average discount available for prompt cash payment at this facility.

Insurance Median
$260

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: $213 (3091%)
Insurance Median: $260 (3774%)
Cash: $213 (3091% of Medicare)
Ins. Median: $260 (3774% 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 3774% of the Medicare baseline (a markup of 3674%). 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
Texas Healthspring $3 44%
UnitedHealthcare $6 - $7 87%
Aetna $7 - $502 102%
Allwell $7 102%
Amerigroup $7 102%
Arcadian Health Plan $7 102%
Blue Cross Blue Shield $7 - $35 102%
Christus Health $7 - $10 102%
Community Health Choice $7 102%
Coventry $7 102%
Devoted Health Plan $7 102%
Humana $7 - $22 102%
Molina $7 102%
Provider Partners Health Plan $7 102%
Shared Health Insurance Company $7 102%
Superior $7 102%
Texas Childrens Health Plan $7 102%
Texas Independence Health Plan $7 102%
Triwest $7 102%
Us Imaging Network $7 102%
Wellcare $7 102%
Imperial Health Plan $8 116%
Medicare (plans) $8 116%
Procare Advantage $8 116%
Partners Direct Health $12 174%
Adv Cardiovas Specialist $14 203%
Naphcare Inc. $14 203%
Cigna $32 - $40 464%
Healthcare Highways $180 - $327 2612%
Lsu First Choice Verity $200 - $364 2903%
Verity Healthnet $240 - $436 3483%
First Health $260 - $473 3774%
Healthsmart $260 - $582 3774%
Multiplan $260 - $473 3774%
Phcs $260 - $473 3774%
Five Point Credit Union $280 - $509 4064%
Mct Credit Union $280 - $509 4064%
Beech Street $320 - $582 4644%
Health Management Network $320 - $582 4644%
Provider Select $320 - $582 4644%
Verity Healthnet National $340 - $618 4935%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2830 Calder Avenue, Beaumont, TX 77702
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals