Blood test, lipase
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $29
- Cash Discount Price: $28
- vs. Medicare Baseline: 4.21x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 421% of the Medicare baseline (a markup of 321%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Geha | $7 | 102% |
| Harvard Pilgrim Healthcare | $7 | 102% |
| Medicare (plans) | $7 | 102% |
| Aetna | $7 - $9 | 102% |
| UnitedHealthcare | $7 | 102% |
| Cigna | $7 - $10 | 102% |
| Cca Senior Care Options | $7 | 102% |
| Blue Cross Blue Shield | $7 - $29 | 102% |
| 1199 National Benefit Fund | $9 | 131% |
| Gravie Admin Services | $9 | 131% |
| Meritain | $9 | 131% |
| Nippon Life Ins | $9 | 131% |
| Webtpa | $9 | 131% |
| Hap | $9 | 131% |
| Allied Benefit Systems | $9 | 131% |
| Luminare Health | $9 | 131% |
| Health Partners | $10 | 145% |
| Magnacare | $10 | 145% |
| Allegiance | $10 | 145% |
| Claimdoc | $14 | 203% |
| Innovative Health Plan II | $14 | 203% |
| Diversified Administrators | $14 | 203% |
| Connecticut Dept of Correction | $22 | 319% |
| Health New England | $27 | 392% |
| Pre-Employment | $29 | 421% |
| Blue Care Network | $29 | 421% |
| Blue Shield - Ny Highmark Northeastern | $29 | 421% |
| Blue Distinction Transplant | $29 | 421% |
| Blue Shield - Wa (Regence) | $29 | 421% |
| Bcn Domestic | $29 | 421% |
| Blue Shield - Ny Highmark Western | $29 | 421% |
| Health Choices | $29 | 421% |
| Blue Benefit Administrators of Massachusetts | $29 | 421% |
| Blue Shield - PA (Highmark) | $29 | 421% |
| Kaiser Domestic | $29 | 421% |
| Unicare | $29 | 421% |
| Wc Domestic | $29 | 421% |
| Blue Shield - Ca | $29 | 421% |
| Blue Shield - Id (Regence) | $29 | 421% |
| Trinity Health Share | $34 | 493% |
| Multiplan | $34 | 493% |
| Mvp | $34 | 493% |
| Ghc Scw | $34 | 493% |
| Asrm - Reliance Standard Life Insurance | $34 | 493% |
| Dean Health | $34 | 493% |
| Manhattan Life | $34 | 493% |
| Lifetime Benefit Solutions | $34 | 493% |
| Christian Care Ministry | $34 | 493% |
| International Benefit Administrators | $34 | 493% |
| Family Life Insurance Company | $34 | 493% |
| Paramount HMO | $34 | 493% |
| PHCS | $34 | 493% |
| Pan-American Life | $34 | 493% |
| Allied National Global Care | $34 | 493% |
| Pai | $34 | 493% |
| Medi Share | $34 | 493% |
| Prime Health Services | $40 | 581% |
| Connecticare | $41 - $45 | 595% |
| Health Smart | $42 | 610% |