CMS Price Transparency Data

Blood test, lipase

Facility: The Medical Center of Aurora & South Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $21
Cash Discount Price: $1,315
vs. Medicare Baseline: 3.05x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at The Medical Center of Aurora & South Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,315. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 3.05x the Medicare baseline. Located in 1501 S Potomac St, Aurora, CO.

Cash / Self-Pay

$1,315

Average discount available for prompt cash payment at this facility.

Insurance Median

$21

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: $1,315 (19086%)

Insurance Median: $21 (305%)

Cash: $1,315 (19086% of Medicare)

Ins. Median: $21 (305% 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 305% of the Medicare baseline (a markup of 205%). 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	$4 - $841	58%
Aetna	$7 - $694	102%
Blue Cross Blue Shield	$7 - $973	102%
Bright Health	$7 - $394	102%
Delaware Life Insurance	$7	102%
Devoted Health	$7	102%
Humana	$7	102%
Kaiser	$7 - $467	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 - $592	102%
Wellcare	$7	102%
Vail Health	$200	2903%
Colorado Program For Children With Special Needs	$552	8012%
Western Plains Community Health	$855	12409%
Multiplan	$920 - $1,183	13353%
Northcare	$920	13353%
Physician Health Partners	$920	13353%
Pinnacol Workers Comp	$986	14311%
Medical Development International	$1,052	15269%
Prime Health	$1,183	17170%

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 $1,315.
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 The Medical Center of Aurora & South Hospital 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.