CMS Price Transparency Data

Blood test, lipase

Facility: Johnston Memorial Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Johnston Memorial Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 16000 Johnston Memorial Drive, Abingdon, VA.
Cash / Self-Pay
$12

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: $12 (174%)
Insurance Median: $7 (102%)
Cash: $12 (174% 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
Amerigroup $3 - $7 44%
Aetna $6 - $52 87%
Blue Cross Blue Shield $6 - $23 87%
Molina Healthcare $6 - $7 87%
Optima Health $6 87%
UnitedHealthcare $6 - $9 87%
Cigna $7 - $27 102%
Devoted Health Plan $7 102%
Humana $7 102%
Managed Medicaire $7 102%
Medicare (plans) $7 102%
Mountain Empire Pace $7 102%
Nhc Advantage $7 102%
Sentara Health $7 - $27 102%
United Mine Workers Of America $7 102%
Wellcare $7 102%
Ambetter / Centene $15 218%
Medcost $28 406%
First Health Coventry $81 1176%
Seven Corners, Inc. $81 1176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16000 Johnston Memorial Drive, Abingdon, VA 24211
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals