CMS Price Transparency Data

Blood test, lipase

Facility: Lewisgale Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $109
  • Cash Discount Price: $576
  • vs. Medicare Baseline: 15.82x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Lewisgale Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $576. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 15.82x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.
Cash / Self-Pay
$576

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $576 (8360%)
Insurance Median: $109 (1582%)
Cash: $576 (8360% of Medicare)
Ins. Median: $109 (1582% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1582% of the Medicare baseline (a markup of 1482%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Health Net $6 87%
Triatlantic $6 87%
Aetna $7 102%
Align Senior Care $7 102%
Blue Cross Blue Shield $7 - $43 102%
Cigna $7 - $100 102%
Clear Spring Health Plan $7 102%
Devoted $7 102%
Evernorth Behavioral Health $7 102%
Good Samaritan Hospice $7 102%
Humana $7 102%
Pyramid Life $7 102%
Sentara Health $7 102%
United $7 - $259 102%
United Behavioral Health $7 102%
United Mine Workers $7 102%
Virginia Premier Health $7 102%
Greenbrier Sporting Club $10 145%
Lifeworks $109 1582%
Universal Healthcare Group $127 1843%
Virginia Health Network $202 - $409 2932%
Naphcare $288 4180%
Greenvbrier Sporting Club $346 5022%
Graham-White Manufacturing $403 5849%
Richfield Nursing Center $403 5849%
Corvel $415 6023%
Community Care Network $432 6270%
Richfield Retirement Community $432 6270%
Csx Hotels $461 6691%
Occunet Workers Comp $461 6691%
One Health Plan $461 6691%
Patients Choice $507 7358%
4Most $518 7518%
Alleghany Highland Community $518 7518%
American Postal Workers Union $518 7518%
C&O Employees Hospital Assn $518 7518%
Multiplan $518 7518%
Phcs $518 7518%
Star Transportation $518 7518%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Electric Road, Salem, VA 24153
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals