CMS Price Transparency Data

Blood test, lipase

Facility: Banner Fort Collins Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $21
  • Cash Discount Price: $12
  • vs. Medicare Baseline: 3.05x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Banner Fort Collins Medical Center is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 3.05x the Medicare baseline. Located in 4700 Lady Moon Dr, Fort Collins, CO.
Cash / Self-Pay
$12

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: $12 (174%)
Insurance Median: $21 (305%)
Cash: $12 (174% 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.

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
Blue Cross Blue Shield $7 - $14 102%
Cigna $7 102%
Clear Spring Health $7 102%
Devoted Health Services $7 102%
Healthspring Life & Health Insurance Company, Inc. $7 102%
Humana $7 102%
Longevity $7 102%
Medica $7 - $48 102%
Medicare (plans) $7 102%
UnitedHealthcare $7 - $48 102%
Assist Health Group $8 116%
Banner Health $9 - $24 131%
Pinnacol Assurance Workers Comp $11 160%
Denver Health Medical Plan $12 174%
Hue Health, Inc $15 - $41 218%
Centivo $17 247%
Aetna $18 - $51 261%
Apostrophe, Inc. $18 - $49 261%
Decent Health $18 - $49 261%
Rocky Mountain Health Plans $18 - $49 261%
First Choice Health Network $19 - $52 276%
First Choice Of The Midwest $20 - $55 290%
Multiplan $20 - $55 290%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4700 Lady Moon Dr, Fort Collins, CO 80528
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals