CMS Price Transparency Data

Blood test, lipase

Facility: Cleveland Clinic Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $9
Cash Discount Price: $48
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Cleveland Clinic Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 3100 Weston Rd, Weston, FL.

Cash / Self-Pay

$48

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: $48 (697%)

Insurance Median: $9 (131%)

Cash: $48 (697% of Medicare)

Ins. Median: $9 (131% 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
Medicaid / KanCare	$4	58%
United	$4 - $7	58%
UnitedHealthcare	$4	58%
Avmed	$5 - $67	73%
Cigna	$5 - $12	73%
Independent Living Systems	$5 - $7	73%
Aetna	$7 - $142	102%
Blue Cross Blue Shield	$7 - $8	102%
Doctors Health Plan	$7 - $118	102%
Humana	$7	102%
Wellcare	$7	102%
Devoted Health	$8	116%
Maritime	$10 - $108	145%
Bmi	$12 - $118	174%
Clarity Health	$14 - $140	203%
The Legacy Companies	$14 - $140	203%
Multiplan	$18 - $183	261%
Consociate Health	$56	813%

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 $48.
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 Cleveland Clinic 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.