CMS Price Transparency Data

Blood test, lipase

Facility: University of Colorado Hospital Authority

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $31
Cash Discount Price: $93
vs. Medicare Baseline: 4.50x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at University of Colorado Hospital Authority is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 4.50x the Medicare baseline. Located in 12605 E 16Th Ave, Aurora, CO.

Cash / Self-Pay

$93

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $93 (1350%)

Insurance Median: $31 (450%)

Cash: $93 (1350% of Medicare)

Ins. Median: $31 (450% 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 450% of the Medicare baseline (a markup of 350%). 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	$7 - $34	102%
Blue Cross Blue Shield	$7 - $156	102%
Cigna	$7 - $16	102%
Cms	$7	102%
Denver Health Medical Plan	$7 - $140	102%
Devoted Health	$7	102%
Humana	$7	102%
Kaiser	$7 - $156	102%
Select Health	$7 - $19	102%
UnitedHealthcare	$7 - $17	102%
Rocky Mountain Health Plan	$86 - $135	1248%
Simplified Benefits Administration	$93 - $98	1350%
Kaiser Public Option	$103	1495%
Phcs	$146	2119%
Multiplan	$159	2308%
First Health	$186	2700%
Midlands Choice	$186	2700%

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 $93.
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 University of Colorado Hospital Authority 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.