Blood test, lipase
Facility: Saint John Hospital
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $7
- Cash Discount Price: $6
- vs. Medicare Baseline: 1.02x 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 |
|---|---|---|
| Kansas Superior Select | $7 | 102% |
| Celtic | $7 - $44 | 102% |
| Midland Care Connection | $7 | 102% |
| UnitedHealthcare | $7 - $10 | 102% |
| Healthy Blue | $7 | 102% |
| Medicaid / KanCare | $7 | 102% |
| Medicare (plans) | $7 | 102% |
| Tricare | $7 | 102% |
| Aetna | $7 - $12 | 102% |
| Cigna | $7 | 102% |
| Employer Direct Healthcare | $10 | 145% |
| Centurion | $10 | 145% |
| Corizon | $10 | 145% |
| Well Path | $10 | 145% |
| Naphcare | $11 | 160% |
| Blue Cross Blue Shield | $13 - $28 | 189% |
| Comp Alliance Workers Comp | $14 | 203% |
| Oha Networks | $15 | 218% |
| Worker Compensation | $16 | 232% |
Consumer Guidance & Cost Commentary
For the blood test, lipase procedure (CPT 83690) at Saint John Hospital in Leavenworth, KS, the facility's cash median price is $6.00, which is significantly lower than the state average of $63.00. While commercial insurance plans like Celtic and UnitedHealthcare negotiate rates ranging from $7 to $28 depending on the specific plan, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the $6.00 cash rate directly, provided they do not have active insurance coverage for this service, as the insurance negotiated rate can sometimes be higher than the self-pay amount.
To maximize savings, consumers should verify the "self-pay" or "prompt-pay" discount rates with the hospital before scheduling, as these upfront payment incentives can further reduce the cost below the standard cash median. It is important to note that while the facility is in-network for many payers, the actual amount paid varies by plan, and patients should avoid assuming that in-network status guarantees the lowest possible price. Additionally, since the Medicare benchmark for this service is $6.89, the cash rate represents a substantial discount relative to the federal baseline, and patients should request an itemized bill to ensure no errors or unbundled charges are included in the final invoice.