CMS Price Transparency Data

Blood test, lipase

Facility: Hca-Healthone DBA Swedish Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $230
  • Cash Discount Price: $735
  • vs. Medicare Baseline: 33.38x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Hca-Healthone DBA Swedish Medical Center is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $735. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 33.38x the Medicare baseline. Located in 501 E Hampden Ave, Englewood, CO.
Cash / Self-Pay
$735

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $735 (10668%)
Insurance Median: $230 (3338%)
Cash: $735 (10668% of Medicare)
Ins. Median: $230 (3338% 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 3338% of the Medicare baseline (a markup of 3238%). 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 - $476 58%
Aetna $7 - $393 102%
Blue Cross Blue Shield $7 - $550 102%
Bright Health $7 - $223 102%
Delaware Life Insurance $7 102%
Devoted Health $7 102%
Humana $7 102%
Kaiser $7 - $240 102%
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 - $335 102%
Wellcare $7 102%
Vail Health $103 - $113 1495%
Colorado Program For Children With Special Needs $297 - $327 4311%
Western Plains Community Health $439 - $483 6372%
Multiplan $473 - $669 6865%
Northcare $473 - $521 6865%
Physician Health Partners $473 - $521 6865%
Pinnacol Workers Comp $507 - $558 7358%
Medical Development International $541 - $595 7852%
Prime Health $608 - $669 8824%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 E Hampden Ave, Englewood, CO 80113
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals