Blood test, lipase
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $54
- Cash Discount Price: $39
- vs. Medicare Baseline: 7.84x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 784% of the Medicare baseline (a markup of 684%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Blue Cross Blue Shield | $54 | 784% |
| Web Tpa [2115] | $54 | 784% |
| Black Lung [6055] | $54 | 784% |
| Lucent Health [6000] | $54 | 784% |
| Aetna | $54 | 784% |
| Healthcare Highways [2210] | $54 | 784% |
| Hooray Health [8000] | $54 | 784% |
| Oncology Patient Assistance Programs [2295] | $54 | 784% |
| Department Of Corrections [1340] | $65 | 943% |
| Healthpartners [1500] | $76 | 1103% |
| National Association Of Letter Carriers [1695] | $76 | 1103% |
| Cigna | $76 | 1103% |
| American Postal Workers Union [1070] | $76 | 1103% |
| Humana | $77 | 1118% |
| Administrative Concepts [1005] | $102 | 1480% |
| American Healthcare [1055] | $102 | 1480% |
| Multiplan [1680] | $102 | 1480% |
| First Health [1375] | $102 | 1480% |
| Coventry Healthcare [1320] | $107 | 1553% |
Consumer Guidance & Cost Commentary
For this blood test procedure at the University of Kansas Health System - St Francis Campus, the facility's negotiated rates with major payers average $54, which is significantly lower than the facility's gross charge of $131. However, the cash median price of $39 is notably lower than both the negotiated rates and the facility's gross charge. While commercial insurance contracts often result in higher out-of-pocket costs due to administrative overhead and network tiering, patients with high-deductible plans may find paying the cash price of $39 more beneficial than relying on insurance, which could result in a higher allowed amount or deductible payment. It is important to verify your specific plan's deductible status before scheduling, as paying the cash rate upfront can sometimes bypass the administrative costs and potential gaps in coverage associated with insurance claims.
To ensure you are not overcharged, patients should request an itemized billing audit rather than accepting a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, if you receive a balance bill for out-of-network services, the No Surprises Act generally protects you from paying the difference between the facility's full chargemaster rate and your insurance allowed amount for emergency care or non-emergency services at in-network facilities. Finally, before finalizing payment, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if paid in full within a short window, effectively bypassing the costly insurance billing cycle and administrative fees.