Blood test, lipase
Facility: Providence Medical Center
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 |
|---|---|---|
| Cigna | $7 | 102% |
| Tricare | $7 | 102% |
| Medicaid / KanCare | $7 | 102% |
| Blue Cross Blue Shield | $7 - $17 | 102% |
| Midland Care Connection | $7 | 102% |
| Celtic | $7 - $11 | 102% |
| UnitedHealthcare | $7 - $11 | 102% |
| Kansas Superior Select | $7 | 102% |
| Healthy Blue | $7 | 102% |
| Medicare (plans) | $7 | 102% |
| Aetna | $7 - $12 | 102% |
| Corizon | $9 | 131% |
| Centurion | $10 | 145% |
| Well Path Prison | $10 | 145% |
| Employer Direct Healthcare | $10 | 145% |
| Naphcare | $11 | 160% |
| Comp Alliance - Fka Compresults Worker Compensation | $14 | 203% |
| Oha Networks | $15 | 218% |
| Worker Compensation | $16 | 232% |
Consumer Guidance & Cost Commentary
For the CPT code 83690 (Blood test, lipase) at Providence Medical Center in Kansas City, KS, the facility's cash median rate is $6.00, which is significantly lower than the state average of $129.00. While the facility's median negotiated rate is $7.00, this amount remains well below the state average, indicating that even with insurance coverage, patients are likely paying a substantial discount compared to regional norms. Because cash-pay rates can sometimes be cheaper for patients with high-deductible plans when the insurance negotiated rate exceeds the cash price, it is advisable to verify your specific plan's allowed amount before scheduling. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final cost if the bill is settled in full upfront.
This service is benchmarked against Medicare, which sets a fixed reimbursement rate of $6.89 for this procedure. The facility's cash rate of $6.00 is slightly below the Medicare benchmark, suggesting a pricing structure that aligns closely with the federal government's cost-based standard rather than inflated chargemaster lists. For patients concerned about balance billing or unexpected charges, it is important to note that the No Surprises Act generally protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities. If you receive a bill that appears to include charges for services not rendered or unbundled components, you have the right to request a formal itemized billing audit to identify errors before paying.