CMS Price Transparency Data

Blood test, lipase

Facility: HCA Healthone Rose

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $37
Cash Discount Price: $158
vs. Medicare Baseline: 5.37x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at HCA Healthone Rose is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 5.37x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.

Cash / Self-Pay

$158

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $158 (2293%)

Insurance Median: $37 (537%)

Cash: $158 (2293% of Medicare)

Ins. Median: $37 (537% 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 537% of the Medicare baseline (a markup of 437%). 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	$3 - $101	44%
Aetna	$7 - $83	102%
Blue Cross Blue Shield	$7 - $117	102%
Bright Health	$7 - $47	102%
Delaware Life Insurance	$7	102%
Devoted Health	$7	102%
Humana	$7	102%
Innovage Pace	$7	102%
Kaiser	$7 - $41	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 - $71	102%
Wellcare	$7	102%
Vail Health	$24	348%
Colorado Program For Children With Special Needs	$71	1030%
Western Plains Community Health	$102 - $103	1480%
Multiplan	$110 - $142	1597%
Northcare	$110 - $111	1597%
Physician Health Partners	$110 - $111	1597%
Pinnacol Workers Comp	$118	1713%
Medical Development International	$126	1829%
Rocky Mtn Planned Parenthood	$133 - $134	1930%
Prime Health	$141 - $142	2046%

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 $158.
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 HCA Healthone Rose 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.