CMS Price Transparency Data

Blood test, lipase

Facility: Baptist Beaumont Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $53
  • Cash Discount Price: $103
  • vs. Medicare Baseline: 7.69x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Baptist Beaumont Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 7.69x the Medicare baseline. Located in 3080 College Street, Beaumont, TX.
Cash / Self-Pay
$103

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

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: $103 (1495%)
Insurance Median: $53 (769%)
Cash: $103 (1495% of Medicare)
Ins. Median: $53 (769% 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 769% of the Medicare baseline (a markup of 669%). 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
Aetna $7 - $26 102%
Ameri-Plus Ppo-All Plans $7 102%
Blue Cross Blue Shield $7 - $20 102%
Cigna $7 - $345 102%
Superior Health Plan Mcr Adv $7 102%
Texan Plus-All Plans $7 102%
Superior Health Plan Comm - All Other Plans $8 116%
Texas Exchange Plans - All Plans $8 116%
Correctcare - All Plans $10 145%
Naphcare Inc - All Plans $10 145%
Texas School Health Benefits - All Plans $10 145%
Preferred Care Services - All Plans $12 174%
Brookshire Brothers - All Plans $16 232%
Imagine Healthcare (Smartcare) - All Plans $27 392%
Americhoice - All Plans $80 1161%
Amerigroup - All Plans $80 1161%
Community Health Choice - All Plans $80 1161%
Medicaid / KanCare $80 - $103 1161%
Tchp Chips - All Plans $80 1161%
Beacon Health - All Plans $92 1335%
Signature Health - All Plans $249 3614%
Central Healthcare Services - All Plans $398 5776%
Humana $398 - $481 5776%
Mhhnp-All Plans $398 5776%
Pponext - All Plans $517 7504%
Multiplan - All Plans $557 8084%
Phcs - All Plans $557 8084%
First Health - All Plans $597 8665%
Healthsmart - All Plans $597 8665%
Managed Healthcare Inc - All Plans $597 8665%
Blue Bell - All Plans $637 9245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3080 College Street, Beaumont, TX 77701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals