CMS Price Transparency Data

Blood test, lipase

Facility: Springfield Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $47
Cash Discount Price: $77
vs. Medicare Baseline: 6.82x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Springfield Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 6.82x the Medicare baseline. Located in Po Box 2003, Springfield, VT.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$47

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: $77 (1118%)

Insurance Median: $47 (682%)

Cash: $77 (1118% of Medicare)

Ins. Median: $47 (682% 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 682% of the Medicare baseline (a markup of 582%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$4 - $124	58%
Harvard Pilgrim Health Care	$4 - $103	58%
Mvp Health Plan	$4 - $95	58%
UnitedHealthcare	$4 - $112	58%
Wellcare	$4 - $49	58%
Wellsense	$4 - $124	58%
Tufts Health Plan	$7 - $76	102%
Cigna	$8 - $129	116%
Multiplan	$9 - $103	131%
Aetna	$10 - $118	145%
Coventry	$10 - $118	145%
Beacon Health	$11 - $124	160%
Manage Behavioral Health	$11 - $124	160%
Martin'S Point Healthcare	$11 - $124	160%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $77.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Springfield Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.