CMS Price Transparency Data

Blood test, lipase

Facility: John Randolph Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $549
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at John Randolph Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $549. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 411 West Randolph Road, Hopewell, VA.
Cash / Self-Pay
$549

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $549 (7968%)
Insurance Median: $7 (102%)
Cash: $549 (7968% of Medicare)
Ins. Median: $7 (102% 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
Triatlantic $6 87%
Aetna $7 102%
Align Senior Care $7 102%
Blue Cross Blue Shield $7 - $28 102%
Cigna $7 - $31 102%
Clear Spring Health Plan $7 102%
Davita Village Health $7 102%
Devoted $7 102%
Evernorth Behavioral Health $7 102%
Health Net $7 102%
Humana $7 102%
Johns Hopkins $7 102%
Pyramid Life $7 102%
Sentara Health $7 102%
United $7 - $247 102%
United Behavioral Health $7 102%
Virginia Premier Health $7 102%
Naphcare $9 131%
Oscar $17 247%
Lifeworks $104 1509%
Universal Healthcare Group $121 1756%
Virginia Health Network $192 - $357 2787%
Value Options $329 4775%
Corvel $395 5733%
Occunet Workers Comp $439 6372%
4Most Health Nework $494 7170%
Multiplan $494 7170%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 411 West Randolph Road, Hopewell, VA 23860
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals