CMS Price Transparency Data

Blood test, lipase

Facility: Freestone Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $12
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Freestone Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.74x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $41 (595%)
Insurance Median: $12 (174%)
Cash: $41 (595% of Medicare)
Ins. Median: $12 (174% 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
Amerigroup $4 - $18 58%
Gilsbar $4 - $58 58%
Aarp $6 87%
Apwu $6 87%
Fringe Benefits $6 87%
Geha $6 87%
Mcaid $6 - $12 87%
Misc Mcaid Hmo $6 - $18 87%
Superior Health Chip $6 - $12 87%
Tx Childrens Mcaid $6 - $12 87%
Uhcss $6 87%
UnitedHealthcare $6 - $18 87%
Aarp Mcare /Wellmed $7 102%
Aetna $7 - $47 102%
Allwell Superior Hlth $7 102%
Ambetter / Centene $7 102%
Care Improvement Plus $7 102%
Champva $7 102%
Humana $7 - $58 102%
Medicaid / KanCare $7 - $27 102%
Medicare (plans) $7 102%
Misc Mcare Replacement $7 102%
Pphp Prov Part Hlth Plan $7 102%
Rightcare S&W Mcaid $7 - $18 102%
Scott & White Senior Care $7 102%
Superior Health Mcd $7 - $27 102%
Superior Hlth Mcare Repl $7 102%
Tricare $7 102%
Triwest $7 102%
Triwest Va Ccn Claims $7 102%
Utmb Corr Mgd Care $7 102%
Va Vha Office Comm Care $7 102%
Veteran'S Administration $7 102%
Wellmed $7 102%
Blue Cross Blue Shield $8 - $53 116%
Scott & White Commercial $8 116%
Scott & White Employees $8 116%
Workers Compensation $14 203%
Cigna $35 508%
Misc Multiplan $41 595%
Misc Multiplan Auto $41 595%
Misc Multiplan Workcomp $41 595%
Self Pay Gt 083123 $41 595%
Self Pay Lt 090123 $41 595%
Aflac $58 842%
Bankers Life $58 842%
Fairview Nursing Home $58 842%
Icare $58 842%
Inmate Freestone Co $58 842%
Misc Hospice $58 842%
Miscellaneous $58 842%
Miscellaneous Auto $58 842%
Mutual Of Omaha $58 842%
North American Med Empl $58 842%
Standard Life Insurance $58 842%
Tml $58 842%
Zelis Healthcare $58 842%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 125 Newman St, Fairfield, TX 75840
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals