Blood test, lipase
Facility: Overland Park Reg Med Ctr
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $44
- Cash Discount Price: $247
- vs. Medicare Baseline: 6.39x 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 639% of the Medicare baseline (a markup of 539%). 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 |
|---|---|---|
| Cigna | $3 - $7 | 44% |
| United | $6 - $116 | 87% |
| Celtic | $7 | 102% |
| Home State Health Plan | $7 | 102% |
| Blue Cross Blue Shield | $7 - $111 | 102% |
| Unicare | $7 | 102% |
| Healthyblue | $7 | 102% |
| Coventry | $7 - $104 | 102% |
| Devoted Health | $7 | 102% |
| Amerigroup | $7 | 102% |
| Aetna | $7 - $132 | 102% |
| Humana | $7 - $11 | 102% |
| Triwest Health Alliance | $7 | 102% |
| Wellcare | $7 | 102% |
| Pyramid Life | $7 | 102% |
| Medicaid / KanCare | $7 | 102% |
| Oscar | $10 | 145% |
| Multiplan | $12 - $191 | 174% |
| Corvel Corporation | $15 - $168 | 218% |
| Oha Network | $15 - $129 | 218% |
| Ambetter / Centene | $44 - $48 | 639% |
| Nhc Advantage | $45 - $49 | 653% |
| Wppa Providrs Care Network | $47 - $52 | 682% |
| Universal Healthcare | $82 - $91 | 1190% |
| Coventry Kc Mo | $96 - $106 | 1393% |
| College Park Family Care Center | $101 - $111 | 1466% |
| Cco, Inc. | $176 - $194 | 2554% |
| Focus Healthcare Mgmt, Inc | $176 - $194 | 2554% |
Consumer Guidance & Cost Commentary
For the blood test, lipase procedure (CPT 83690) at Overland Park Reg Med Ctr in Kansas, the cash price is $247.00. This cash rate is significantly lower than the facility's gross charge of $247.00, which appears to be the listed price, and notably lower than the state average for this service. While the facility's negotiated rates with major payers like United and Blue Cross Blue Shield range from $7 to $191 depending on the plan, these amounts often exceed the cash price. Patients with high-deductible plans may find paying the $247.00 cash rate directly more cost-effective than relying on insurance, as the insurer's allowed amount could be higher than the cash price, potentially leading to balance billing if the patient is out-of-network for this specific service.
To minimize unexpected costs, patients should verify their insurance status and explicitly ask the facility about "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the final bill. It is also important to request an itemized billing audit if a summary bill is received, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. When comparing prices, patients should focus on the Medicare benchmark of $6.89 rather than the facility's gross charges, as commercial negotiated rates often include administrative markups that do not reflect the true cost of care.