CMS Price Transparency Data

Blood test, lipase

Facility: The Medical Center of Southeast Texas

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $9
  • Cash Discount Price: $545
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at The Medical Center of Southeast Texas is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $545. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$545

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $545 (7910%)
Insurance Median: $9 (131%)
Cash: $545 (7910% of Medicare)
Ins. Median: $9 (131% 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
UnitedHealthcare $4 - $9 58%
Community Health Choice $6 - $8 87%
Community Health Choice Uhrip $6 87%
Harbor Hospice $6 87%
Medicaid / KanCare $6 - $7 87%
Medsolutions $6 87%
Molina Healthcare $6 - $9 87%
Superior Healthplan $6 - $7 87%
Texas Childrens Health Plan $6 87%
Amerigroup $7 - $43 102%
Beacon Health $7 102%
Blue Cross Blue Shield $7 - $225 102%
Caresact $7 102%
Cccn Pro Advantage $7 102%
Cigna $7 - $382 102%
Employer Direct Healthcare $7 - $9 102%
Healthspring $7 102%
Hospice $7 102%
Humana $7 - $17 102%
League Medical Concepts $7 102%
Medicare (plans) $7 102%
Provider Partners Health Plan $7 102%
Rice Land Hospice $7 102%
Selectcare $7 102%
Texas Medical Management Partners $7 - $9 102%
Tihp (Texas Independence Health Plan) $7 102%
Tricare $7 102%
Triwest $7 102%
Wellcare Of Texas $7 102%
Wellpath $8 116%
Corporate Remedies $10 145%
Elap Services $13 189%
Texas Workers Compensation $14 203%
Self Pay Emergent $82 1190%
Dept Of Assistive And Rehabilitative Services $273 3962%
Aetna $316 - $360 4586%
Iasis Employees $327 4746%
Magellan Behavioral Health $327 4746%
First Health $382 5544%
Galaxy Health Network $382 5544%
Private Healthcare Systems $382 5544%
Texas Municipal League $382 5544%
Healthsmart $409 5936%
Multiplan $436 6328%
Commercial Non-Contracted $545 7910%
Heart To Heart Hospice $545 7910%
Lifesynch $545 7910%
Mhnet $545 7910%
Self Pay - Mcd Pending 100 Percent $545 7910%
Single Case Agreement $545 7910%
United Behavioral Health $545 7910%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals