CMS Price Transparency Data

Blood test, lipase

Facility: Ascension Seton Edgar B Davis

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Ascension Seton Edgar B Davis is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 130 Hays Street, Luling, TX.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $68 (987%)
Insurance Median: $8 (116%)
Cash: $68 (987% of Medicare)
Ins. Median: $8 (116% 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
Ambetter / Centene $6 - $8 87%
Blue Cross Blue Shield $6 - $32 87%
Dell Chip/Chip Perinate $6 - $8 87%
Dell Star $6 - $8 87%
UnitedHealthcare $6 - $8 87%
Wellpoint Chip/Chip Perinate $6 - $7 87%
Wellpoint Star Kids $6 87%
Wellpoint Star Plus $6 - $8 87%
Wellpoint Star $7 - $8 102%
Champva $8 - $9 116%
Humana $11 160%
Cigna $16 232%
Seton Performance Plus $17 247%
Aetna $18 - $51 261%
Covenant Health $38 552%
Superior Star $75 1089%
Superior Star Foster $75 1089%
Superior Star Kids $75 1089%
Superior Star Plus $75 1089%
Superior Chip/Chip Perinate $85 1234%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Hays Street, Luling, TX 78648
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals