CMS Price Transparency Data

Blood test, lipase

Facility: Los Robles Hospital & Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $48
Cash Discount Price: $171
vs. Medicare Baseline: 6.97x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Los Robles Hospital & Medical Center is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 6.97x the Medicare baseline. Located in 215 W Janss Rd, Thousand Oaks, CA.

Cash / Self-Pay

$171

Average discount available for prompt cash payment at this facility.

Insurance Median

$48

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: $171 (2482%)

Insurance Median: $48 (697%)

Cash: $171 (2482% of Medicare)

Ins. Median: $48 (697% 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 697% of the Medicare baseline (a markup of 597%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$2 - $1,231	29%
Medcare Partners	$2 - $185	29%
United	$4 - $346	58%
Health Net	$6 - $501	87%
Alignment Health Plan	$7	102%
Blue Cross Blue Shield	$7 - $36	102%
Blue Shield	$7 - $145	102%
Brand New Day	$7 - $9	102%
Care1St Health Plan	$7	102%
Central Health Plan	$7	102%
Clever Care Of Golden State	$7	102%
Easy Choice Health Plan	$7	102%
Facey Medical Group	$7 - $9	102%
Humana	$7	102%
La Care	$7	102%
Scan Health Plan	$7	102%
Triwest Healthcare Alliance	$7	102%
Corvel Corporation	$8	116%
Ventura County Foundation	$8 - $1,108	116%
Gold Coast Health Plan	$9	131%
Choicecare Network	$10 - $862	145%
First Health	$10 - $985	145%
Multiplan	$11 - $1,169	160%
Ppo Next	$11 - $985	160%
Interplan Corporation	$13 - $1,108	189%
Bright Health	$17	247%
Cigna	$24	348%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $171.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Los Robles Hospital & Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.