Blood test, lipase
Facility: Labette Health
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $8
- Cash Discount Price: $43
- vs. Medicare Baseline: 1.16x 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 |
|---|---|---|
| Humana | $7 | 102% |
| Medicaid / KanCare | $7 | 102% |
| Wellcare | $7 | 102% |
| Blue Cross Blue Shield | $7 - $28 | 102% |
| Multiplan | $7 - $88 | 102% |
| UnitedHealthcare | $7 - $90 | 102% |
| Healthy Blue | $7 | 102% |
| Uhccp | $8 | 116% |
| Ambetter / Centene | $8 | 116% |
| Montgomery County | $12 - $34 | 174% |
| Health Partners Of Kansas, Inc | $94 | 1364% |
| Choicecare (First Health Network) | $94 | 1364% |
Consumer Guidance & Cost Commentary
For the CPT code 83690 (Blood test, lipase) at Labette Health in Parsons, KS, the facility's cash median price is $43.00, which is notably lower than the state average of $62.00. While the facility's negotiated rates with major payers like Humana, Medicaid/KanCare, and Wellcare range between $7.00 and $8.00, these amounts are significantly lower than the cash price. This pricing structure suggests that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $43.00 may result in lower total costs compared to having insurance pay a negotiated rate that could exceed the cash amount before the deductible is satisfied.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network services at in-network facilities, it is crucial to verify the network status of specific ancillary services like laboratory tests before scheduling. If a patient chooses to pay out-of-pocket, they should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the $43.00 cash median. Additionally, since over 80% of hospital bills contain errors, patients should request a full itemized CPT-coded statement rather than accepting a summary bill, ensuring that no unbundled charges or services not rendered are included in the final invoice.