CMS Price Transparency Data

Blood test, lipase

Facility: Rehabilitation Hospital of Wisconsin

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $128
  • Cash Discount Price: $140
  • vs. Medicare Baseline: 18.58x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Rehabilitation Hospital of Wisconsin is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 18.58x the Medicare baseline. Located in 1625 Coldwater Creek Dr, Waukesha, WI.
Cash / Self-Pay
$140

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

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: $140 (2032%)
Insurance Median: $128 (1858%)
Cash: $140 (2032% of Medicare)
Ins. Median: $128 (1858% 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 1858% of the Medicare baseline (a markup of 1758%). 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
Alliance Ppo $30 - $108 435%
Dean Ppo Hmo/Pos $30 - $108 435%
Medica (Under Dean) $30 - $108 435%
UnitedHealthcare $31 - $156 450%
Trilogy Ppo $32 - $156 464%
Wps "Insurance" Ppo $32 - $114 464%
Hps Solutions Ppo $33 - $119 479%
Phcs Savility $33 - $117 479%
Aetna $34 - $156 493%
Health Eos Poc $35 - $125 508%
Coventry/First Health Ppo $36 - $128 522%
Hps (Other) $36 - $128 522%
Health Eos Multiplan $37 - $133 537%
Phcs / Multiplan $40 - $144 581%
All Savers $44 - $156 639%
Blue Cross Blue Shield $44 - $156 639%
Centivo Broad $44 - $156 639%
Centivo Intermediate/Median $44 - $156 639%
Centivo Narrow/Value $44 - $156 639%
Children'S Communty Health Plan(Cchp) $44 - $156 639%
Cigna $44 - $156 639%
Community Care, Inc $44 - $156 639%
Humana $44 - $156 639%
Icare Mcd $44 - $156 639%
Managed Health Services (Mhs) $44 - $156 639%
Medicaid / KanCare $44 - $156 639%
Medicare (plans) $44 - $156 639%
Molina (Fka Care Wisconsin) $44 - $156 639%
Network Health - Aca $44 - $156 639%
Network Health - Commercial $44 - $156 639%
Quartz (Self Funded) / Unity Health Plan (Hmo/Pos) $44 - $156 639%
Security Health Plan - Advocare $44 - $156 639%
Together With Cchp $44 - $156 639%
Unity Health Plan And Unity Quartz(Hmo/Pos) $44 - $156 639%
Va - Primary Only - Authorization Required $44 - $156 639%
Wellcare Mcr $44 - $156 639%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1625 Coldwater Creek Dr, Waukesha, WI 53188
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL