CMS Price Transparency Data

Blood test, lipase

Facility: Lutheran Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $72
Cash Discount Price: Unavailable
vs. Medicare Baseline: 10.45x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Lutheran Medical Center is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 10.45x the Medicare baseline. Located in 8300 W 38Th Ave, Wheat Ridge, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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%)

Insurance Median: $72 (1045%)

Ins. Median: $72 (1045% 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 1045% of the Medicare baseline (a markup of 945%). 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
Cigna	$4 - $181	58%
Aarp	$7	102%
Geha	$7 - $105	102%
Kaiser Snp	$7	102%
Select Health	$7	102%
UnitedHealthcare	$7 - $105	102%
Blue Cross Blue Shield	$12 - $152	174%
Denv Hlth Med Plan	$18	261%
Kaiser Perm Hmo	$28 - $76	406%
Kaiser Perm Ppo/Pos	$35 - $78	508%
Kaiser Self Funded	$35 - $76	508%
Allegiance	$38 - $45	552%
Aetna	$56 - $162	813%
Preferred One	$60 - $72	871%
Humana	$64 - $76	929%
Cofinity	$109 - $130	1582%
First Health Network	$109 - $130	1582%
Private Hlthcare Sys	$113 - $135	1640%
Multiplan Inc	$127 - $152	1843%

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 $X.
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 Lutheran 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.