Blood test, lipase
Facility: St. Catherine Hospital - Garden City
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $33
- Cash Discount Price: $91
- vs. Medicare Baseline: 4.79x 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 479% of the Medicare baseline (a markup of 379%). 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 |
|---|---|---|
| UnitedHealthcare | $7 - $64 | 102% |
| Humana | $7 | 102% |
| Devoted Health | $7 | 102% |
| Kaiser | $7 - $96 | 102% |
| Medicare (plans) | $7 | 102% |
| Cigna | $7 - $9 | 102% |
| Kansas Health | $7 | 102% |
| Blue Cross Blue Shield | $7 - $33 | 102% |
| Aetna | $7 - $87 | 102% |
| Innovage | $7 | 102% |
| Centura Employee Plan | $9 | 131% |
| United Colorado Doctor'S Plan | $10 | 145% |
| Direct To Employer | $12 - $140 | 174% |
| Wpaa | $72 | 1045% |
| Christian Health Aid | $82 | 1190% |
| Denver Health | $83 | 1205% |
| Multiplan | $93 - $297 | 1350% |
| Health Partners Of Kansas | $100 | 1451% |
| Peak Health | $136 | 1974% |
Consumer Guidance & Cost Commentary
For the CPT code 83690 (Blood test, lipase), St. Catherine Hospital - Garden City lists a cash median of $91.00, which is significantly higher than the facility's own negotiated median of $33.00 and the Medicare benchmark of $6.89. While commercial payers like Kaiser and Multiplan have negotiated rates ranging from $7 to $297, these figures often reflect administrative overhead and contract dynamics rather than the true cost of care. It is important to note that cash payments can sometimes be more cost-effective for patients with high-deductible plans if their insurance negotiated rates exceed the cash price, though in this specific case, the facility's cash rate is notably elevated compared to its internal negotiated rates. Patients are encouraged to verify their specific plan's allowed amount before scheduling, as in-network rates vary widely across different carriers and can sometimes be substantially higher than the facility's cash-pay option.
To ensure you are receiving fair pricing, it is recommended to request a prompt-pay discount or self-pay rate directly from the hospital prior to check-in, as these discounts can reduce the final bill by 20% to 50% by bypassing costly insurance billing cycles. Additionally, if you receive a summary bill, you should demand a full itemized CPT-coded statement to identify any errors, double-billing, or unbundled charges, as over 80% of hospital bills contain inaccuracies that can be corrected through a formal written audit. Given that this facility is a voluntary non-profit church-owned acute care hospital in Garden City, KS, comparing the facility's rates to local state averages provides a clearer picture of market pricing than relying on the inflated