CMS Price Transparency Data

Blood test, lipase

Facility: HCA Healthone Mountain Ridge

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $7
Cash Discount Price: $899
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at HCA Healthone Mountain Ridge is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $899. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$899

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $899 (13048%)

Insurance Median: $7 (102%)

Cash: $899 (13048% of Medicare)

Ins. Median: $7 (102% 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.

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 - $575	44%
Aetna	$7 - $475	102%
Blue Cross Blue Shield	$7 - $665	102%
Bright Health	$7 - $270	102%
Delaware Life Insurance	$7	102%
Devoted Health	$7	102%
Humana	$7	102%
Innovage Pace	$7	102%
Kaiser	$7 - $319	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 - $405	102%
Wellcare	$7	102%
Vail Health	$137	1988%
Colorado Program For Children With Special Needs	$306	4441%
Life Source Services	$350	5080%
Western Plains Community Health	$584	8476%
Multiplan	$629 - $809	9129%
Northcare	$629	9129%
Physician Health Partners	$629	9129%
Pinnacol Workers Comp	$674	9782%
Medical Development International	$719	10435%
Prime Health	$809	11742%

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 $899.
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 Mountain Ridge 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.