CMS Price Transparency Data

Blood test, lipase

Facility: Rio Grande Regional Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $9
  • Cash Discount Price: $1,032
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Rio Grande Regional Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,032. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$1,032

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: $1,032 (14978%)
Insurance Median: $9 (131%)
Cash: $1,032 (14978% 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
Aetna $6 - $7 87%
Driscoll Children'S Health Plan $6 87%
Molina Healthcare $6 - $17 87%
Texas Health Network $6 87%
United $6 - $464 87%
Allegian Health $7 - $413 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 - $464 102%
Cigna $7 - $25 102%
Humana $7 - $24 102%
Independent Medical System $7 102%
Physicians Health Choice $7 102%
Prominence Health $7 102%
Provider Partners Health Plan Of Texas $7 102%
Shared Health $7 102%
Superior Health Plan $7 - $72 102%
Triwest Health Alliance $7 102%
Triwest Healthcare Alliance $7 102%
Wellmed $7 102%
Molina $8 116%
Universal Health Care $8 116%
Superior $11 160%
Corvel Corporation $14 203%
Focus Healthcare $14 203%
Omni Healthcare $14 203%
Oscar $16 232%
Healthcare Highways $21 305%
Texas Workforce Commission $248 3599%
Averde Health $340 4935%
Healthsmart Preferred Care $444 - $877 6444%
First Health $593 8607%
National Healthcare Solutions $619 8984%
Southwest Medical $619 8984%
Coastal Comp $671 9739%
Usa Managed Care $671 - $825 9739%
Ppo Next/ Medical Control $774 11234%
Beech Street $825 11974%
Multiplan $825 11974%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals