Blood test, lipase
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $11
- Cash Discount Price: $124
- vs. Medicare Baseline: 1.60x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $6 - $162 | 87% |
| Medicaid / KanCare | $6 - $12 | 87% |
| UnitedHealthcare | $6 - $129 | 87% |
| Humana | $6 - $7 | 87% |
| Mercy Hospice Okc [20252] | $7 | 102% |
| Medica Contracted [320239] | $7 | 102% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $7 | 102% |
| Halo Hcr Inc Hospice [20432] | $7 | 102% |
| Kindful Hospice Contracted [320434] | $7 | 102% |
| Tricare | $7 | 102% |
| Pace Of The Ozarks Contracted [320518] | $7 | 102% |
| Blue Cross Blue Shield | $7 - $33 | 102% |
| Dept Of Veteran Affairs Contracted [320106] | $7 | 102% |
| Kindful Hospice [20434] | $7 | 102% |
| Medicare (plans) | $7 | 102% |
| Halo Hcr Inc Hospice Contracted [320432] | $7 | 102% |
| Elara Caring Aspire Hospice [20433] | $7 | 102% |
| Cross Timbers Hospice [20098] | $7 | 102% |
| Health Choice Contracted [320166] | $9 | 131% |
| Home State Health Plan Contracted [320187] | $12 | 174% |
| Ambetter / Centene | $12 | 174% |
| Providrs Care Network Contracted [320484] | $13 | 189% |
| Cigna | $38 - $39 | 552% |
| United Medical Resources Contracted [320454] | $129 | 1872% |
| Healthlink Contracted [320179] | $153 | 2221% |
| Ebms Contracted [320493] | $153 | 2221% |
| Aither Health Contracted [320449] | $153 | 2221% |
| Workers Comp [20426] | $153 | 2221% |
| Yuzu Health Contracted [320521] | $153 | 2221% |
| Edison Health Solutions Contracted [320502] | $153 | 2221% |
| Imagine 360 Contracted [320494] | $153 | 2221% |
| Reflect Health Contracted [320492] | $153 | 2221% |
| Auxiant Contracted [320462] | $153 | 2221% |
| Mercy Benefit Admin Contracted [320251] | $153 | 2221% |
| American Healthcare Alliance Contracted [320020] | $153 | 2221% |
| First Health Contracted [320128] | $162 | 2351% |
Consumer Guidance & Cost Commentary
For the CPT code 83690, representing a blood test for lipase, Mercy Hospital Pittsburg, Inc. lists a gross charge of $191.00, which is significantly higher than the Medicare benchmark rate of $6.89. While the facility's cash median price is $124.00 and the median negotiated rate across payers is $11.00, patients should be aware that commercial insurance contracts often result in higher out-of-pocket costs due to administrative fees and network tiering. The data indicates that while some payers like Medicaid/KanCare have negotiated rates as low as $6, others such as United Medical Resources and Healthlink charge the maximum gross amount of $129.00 and $153.00 respectively, highlighting the variability in in-network pricing.
To minimize costs, patients should verify their specific plan's deductible status before scheduling, as paying the cash price of $124.00 may be more economical if their insurance negotiated rate exceeds this amount or if they have not yet met their deductible. Additionally, asking the hospital directly about "self-pay" or "prompt-pay" discounts prior to check-in can often reduce the final bill, as these incentives bypass the costly insurance claims processing cycle. It is important to request a full itemized bill to ensure no errors exist, as over 80% of hospital bills contain discrepancies, and to avoid balance billing surprises by confirming that all services, including ancillary lab work, are covered under the No Surprises Act protections.