CMS Price Transparency Data

Blood test, lipase

Facility: Northwestern Medicine Delnor Community Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $127
Cash Discount Price: $135
vs. Medicare Baseline: 18.43x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Northwestern Medicine Delnor Community Hospital is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 18.43x the Medicare baseline. Located in 300 Randall Rd, Geneva, IL.

Cash / Self-Pay

$135

Average discount available for prompt cash payment at this facility.

Insurance Median

$127

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: $135 (1959%)

Insurance Median: $127 (1843%)

Cash: $135 (1959% of Medicare)

Ins. Median: $127 (1843% 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 1843% of the Medicare baseline (a markup of 1743%). 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
Blue Cross Blue Shield	$20 - $262	290%
Aetna	$22 - $61	319%
Carelon Behavioral Health [159]	$68 - $188	987%
Health'S Finest Network [126]	$68 - $320	987%
Healthlink [125]	$86 - $237	1248%
First Health Plan [6034]	$95 - $259	1379%
Multiplan/Phcs [142]	$103 - $376	1495%
Cigna	$110 - $301	1597%
Compsych [112]	$110 - $301	1597%
Beechstreet [176]	$123 - $338	1785%
UnitedHealthcare	$137 - $376	1988%

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 $135.
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 Northwestern Medicine Delnor Community 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.