CMS Price Transparency Data

Blood test, lipase

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $17
  • Cash Discount Price: $876
  • vs. Medicare Baseline: 2.47x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Healthone Presbyterian St Luke's is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $876. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 2.47x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.
Cash / Self-Pay
$876

Average discount available for prompt cash payment at this facility.

Insurance Median
$17

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: $876 (12714%)
Insurance Median: $17 (247%)
Cash: $876 (12714% of Medicare)
Ins. Median: $17 (247% 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 247% of the Medicare baseline (a markup of 147%). 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
Cigna $4 - $560 58%
UnitedHealthcare $6 87%
Aetna $7 - $462 102%
Blue Cross Blue Shield $7 - $648 102%
Bright Health $7 - $263 102%
Delaware Life Insurance $7 102%
Devoted Health $7 102%
Humana $7 102%
Innovage Pace $7 102%
Kaiser $7 - $228 102%
Kaiser National Transplant $7 - $420 102%
Mutual Of Omaha $7 102%
Rocky Mountain Health $7 102%
Rocky Mountain Health Plan $7 102%
Total Longterm Care $7 102%
Triwest Health Alliance $7 102%
United $7 - $394 102%
Wellcare $7 102%
Vail Health $133 1930%
Emerging Therapy Solutions $420 - $560 6096%
Colorado Program For Children With Special Needs $446 6473%
Western Plains Community Health $569 8258%
Multiplan $613 - $788 8897%
Northcare $613 8897%
Physician Health Partners $613 8897%
Pinnacol Workers Comp $657 9536%
Medical Development International $700 10160%
Prime Health $788 11437%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1719 E 19Th Ave, Denver, CO 80218
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals