Blood test, lipase
Facility: Wesley Medical Center
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $15
- Cash Discount Price: $535
- vs. Medicare Baseline: 2.18x 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 218% of the Medicare baseline (a markup of 118%). 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 |
|---|---|---|
| Coventry Health Care | $7 | 102% |
| Ambetter / Centene | $7 - $96 | 102% |
| UnitedHealthcare | $7 | 102% |
| Medicaid / KanCare | $7 | 102% |
| Triwest Health Alliance | $7 | 102% |
| Humana | $7 | 102% |
| Devoted Health | $7 | 102% |
| United | $7 - $241 | 102% |
| Amerigroup | $7 | 102% |
| Aetna | $7 - $191 | 102% |
| Correct Care Solutions | $10 | 145% |
| Multiplan | $15 - $482 | 218% |
| First Health | $15 - $247 | 218% |
| Blue Cross Blue Shield | $21 | 305% |
| Wppa | $93 | 1350% |
| Health Partners Of Kansas | $93 - $268 | 1350% |
| Preferred Health Choices | $101 | 1466% |
| Medical Associates Health Plan | $101 | 1466% |
| Spirit Aerosystems | $171 | 2482% |
| Triwest Healthcare Alliance | $348 | 5051% |
| Usa Managed Care | $455 | 6604% |
Consumer Guidance & Cost Commentary
For the blood test, lipase procedure (CPT 83690) at Wesley Medical Center in Wichita, KS, the cash price is $535.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state average, as indicated by a ratio of 2.2 times the Medicare benchmark of $6.89. While commercial insurance plans like Coventry Health Care and UnitedHealthcare negotiate rates starting at $7.00, these figures are still below the cash price, suggesting that paying out-of-pocket might not be the most economical option for those with active insurance coverage. However, patients with high-deductible plans should verify if their specific plan's negotiated rate exceeds the cash price, as paying the full $535.00 upfront could result in immediate savings compared to waiting for insurance reimbursement.
It is important to note that the listed cash price of $535.00 represents the standard charge before any potential discounts. Patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full within a short window. Additionally, if you have insurance, be aware that while the facility is in-network for many payers, specific lab services or ancillary providers might operate out-of-network, potentially triggering balance billing for the difference between the allowed amount and the full charge. To avoid unexpected costs, always request an itemized bill before signing any consent waivers and dispute any charges that appear incorrect or unbundled, as over 80% of hospital bills contain errors that can be corrected through a formal audit