CMS Price Transparency Data

Blood test, lipase

Facility: Banner Behavioral Health Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Banner Behavioral Health Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 7575 East Earll Drive, Scottsdale, AZ.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $88 (1277%)
Insurance Median: $10 (145%)
Cash: $88 (1277% of Medicare)
Ins. Median: $10 (145% 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.

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 - $131 102%
Banner Health $7 102%
Banner University Health Plan $7 102%
Blue Cross Blue Shield $7 - $9 102%
Carelon $7 102%
Devoted Health Services $7 102%
Health Choice Arizona, Inc. $7 - $10 102%
Health Net $7 - $10 102%
Kaiser Foundation Health Plan $7 102%
Triwest Healthcare Alliance Corp - Va Ccn $7 102%
Upmc Health Plan $7 102%
Wellpoint $7 102%
Gold Kidney Health Plan $8 116%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $23 - $112 334%
Arizona Medical Network $36 - $192 522%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7575 East Earll Drive, Scottsdale, AZ 85251
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Psychiatric