CMS Price Transparency Data

Blood test, lipase

Facility: De Tar Hospital Navarro

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $237
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at De Tar Hospital Navarro is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $237. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$237

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: $237 (3440%)
Insurance Median: $10 (145%)
Cash: $237 (3440% 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
Blue Cross Blue Shield $6 - $194 87%
Medicaid / KanCare $6 - $19 87%
Scott & White $6 87%
Superior $6 - $14 87%
UnitedHealthcare $6 - $264 87%
Aetna $7 - $529 102%
American Health Mcr Adv $7 102%
Department Of Veterans Affairs $7 102%
Humana $7 102%
Medicare (plans) $7 102%
Node Amerigroup Mcr Adv $7 102%
Node Hospice Non Par Agree $7 102%
Node Procare Mcr Adv $7 102%
Node Triwest $7 102%
Node Va $7 102%
Provider Partners Health Plan $7 102%
Tricare $7 102%
Veterans Eval Services $7 102%
Industrial Rehab $8 116%
Node Us Dept Of Labor $9 131%
Node Brookshire Brothers $12 174%
Node Brookshire Brothers Work Comp Tx $13 189%
Amerigroup $14 203%
Work Comp $14 203%
Elap $15 218%
Dars $213 3091%
Tx Workforce Commission $213 3091%
Cigna $221 - $399 3208%
Sane $250 3628%
Healthsmart $510 - $650 7402%
Multiplan $603 - $742 8752%
First Health $631 9158%
Medcorp Southwest Inc $650 9434%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals