CMS Price Transparency Data

Blood test, lipase

Facility: Banner - University Medical Center Tucson Campus

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $22
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 3.19x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Banner - University Medical Center Tucson Campus is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 3.19x the Medicare baseline. Located in 1625 North Campbell Avenue, Tucson, AZ.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $9 (131%)
Insurance Median: $22 (319%)
Cash: $9 (131% of Medicare)
Ins. Median: $22 (319% 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 319% of the Medicare baseline (a markup of 219%). 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
Aetna $7 - $37 102%
Arizona Physicians Ipa $7 102%
Banner Health $7 102%
Banner University Health Plan $7 102%
Blue Cross Blue Shield $7 - $27 102%
Care 1St $7 102%
Carelon $7 102%
Cigna $7 - $13 102%
Devoted Health Services $7 102%
Gila River Health Care Corporation $7 102%
Health Choice Arizona, Inc. $7 - $10 102%
Health Net $7 - $10 102%
Humana $7 102%
Kaiser Foundation Health Plan $7 102%
Mercy Care $7 102%
Triwest Healthcare Alliance Corp - Va Ccn $7 102%
UnitedHealthcare $7 - $16 102%
Upmc Health Plan $7 102%
Wellpoint $7 102%
Arizona Priority Care $8 116%
Gold Kidney Health Plan $8 116%
Naphcare $9 131%
Oscar Health Plan $11 160%
University Of Arizona (Kasser Medical Treatment Center) $18 - $24 261%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $23 - $32 334%
Plotkin Health $23 - $32 334%
Quiktrip Corporation $28 - $38 406%
Provider Network Of America $39 - $52 566%
Arizona Medical Network $42 - $56 610%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1625 North Campbell Avenue, Tucson, AZ 85719
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals