CMS Price Transparency Data

Blood test, lipase

Facility: Kingman Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $321
  • Cash Discount Price: $144
  • vs. Medicare Baseline: 46.59x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Kingman Regional Medical Center is $321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 46.59x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.
Cash / Self-Pay
$144

Average discount available for prompt cash payment at this facility.

Insurance Median
$321

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: $144 (2090%)
Insurance Median: $321 (4659%)
Cash: $144 (2090% of Medicare)
Ins. Median: $321 (4659% 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 4659% of the Medicare baseline (a markup of 4559%). 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
Care 1St Mcr Adv-All Other Plans $7 102%
Health Choice Generations $7 102%
Hpn Sierra Nevada Mcr Adv $7 102%
Humana $7 - $313 102%
Medicare (plans) $7 102%
Triwest - All Plans $7 102%
UnitedHealthcare $7 - $228 102%
Mercy Care Adv Snp-All Other Plans $8 116%
Geo Group Chc Az State Prison-All Plans $10 145%
Health Choice- All Other Plans $17 247%
Aetna $25 - $31 363%
Blue Cross Blue Shield $208 - $260 3019%
Health Plan Of Nevada-All Other Plans $220 - $276 3193%
Health Choice Hie Exchange $292 - $366 4238%
Multiplan-All Plans $292 - $366 4238%
Cigna $328 - $411 4761%
Three Rivers-All Plans $336 - $420 4877%
America'S Choice Provider Network-All Plans $347 - $434 5036%
Apipa - Ahcccs-All Other Plans $365 - $457 5298%
Az Foundation-All Plans $365 - $457 5298%
Health Choice Az $365 - $457 5298%
Mediversal-All Plans $365 - $457 5298%
One Health Plan-All Plans $365 - $457 5298%
Universal Health-All Plans $365 - $457 5298%
Care 1St Mcaid $383 - $480 5559%
Mercy Care Ahcccs Ddd $402 - $503 5835%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3269 Stockton Hill Road, Kingman, AZ 86401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals