CMS Price Transparency Data

Blood test, lipase

Facility: Northwestern Memorial Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $110
Cash Discount Price: $103
vs. Medicare Baseline: 15.97x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Northwestern Memorial Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 15.97x the Medicare baseline. Located in 251 E Huron St, Chicago, IL.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$110

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: $103 (1495%)

Insurance Median: $110 (1597%)

Cash: $103 (1495% of Medicare)

Ins. Median: $110 (1597% 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 1597% of the Medicare baseline (a markup of 1497%). 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
Curaechoice [6100]	$11 - $88	160%
Aetna	$22 - $376	319%
Imagine Health [6032]	$22 - $102	319%
Global Medical Management Inc [6090]	$28 - $218	406%
Medpartners [6038]	$34 - $263	493%
Blue Cross Blue Shield	$36 - $376	522%
Humana	$36 - $188	522%
Healthlink [125]	$68 - $376	987%
Cigna	$81 - $376	1176%
First Health Plan [6034]	$81 - $376	1176%
Galaxy Health Network [220]	$81 - $376	1176%
Multiplan/Phcs [142]	$81 - $376	1176%
UnitedHealthcare	$81 - $376	1176%
Health'S Finest Network [126]	$89 - $131	1292%

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 $103.
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 Memorial 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.