Blood test, lipase
Facility: Menorah Medical Center
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $11
- Cash Discount Price: $464
- vs. Medicare Baseline: 1.60x 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 | $3 - $371 | 44% |
| United | $6 - $209 | 87% |
| Healthyblue | $7 | 102% |
| Humana | $7 - $11 | 102% |
| Aetna | $7 - $237 | 102% |
| Triwest Health Alliance | $7 | 102% |
| Wellcare | $7 | 102% |
| Blue Cross Blue Shield | $7 - $209 | 102% |
| Medicaid / KanCare | $7 | 102% |
| Unicare | $7 | 102% |
| Pyramid Life | $7 | 102% |
| Devoted Health | $7 | 102% |
| Home State Health Plan | $7 | 102% |
| Coventry | $7 - $187 | 102% |
| Amerigroup | $7 | 102% |
| Celtic | $7 | 102% |
| Oscar | $10 | 145% |
| Multiplan | $12 - $344 | 174% |
| Oha Network | $15 - $232 | 218% |
| Corvel Corporation | $15 - $302 | 218% |
| Ambetter / Centene | $86 | 1248% |
| Nhc Advantage | $88 | 1277% |
| Wppa Providrs Care Network | $93 | 1350% |
| Universal Healthcare | $162 | 2351% |
| Coventry Kc Mo | $190 | 2758% |
| College Park Family Care Center | $200 | 2903% |
| Focus Healthcare Mgmt, Inc | $348 | 5051% |
| Cco, Inc. | $348 | 5051% |
Consumer Guidance & Cost Commentary
For the CPT code 83690 (Blood test, lipase), Menorah Medical Center in Overland Park, KS, lists a cash price of $464.00, which matches the facility's cash median. This cash rate is significantly higher than the state average, as indicated by a Medicare benchmarking ratio of 1.6, suggesting the facility's pricing is 60% above the federal baseline used to calculate state averages. While commercial negotiated rates vary widely among payers—ranging from $7 to $348 depending on the insurance plan—the cash price often serves as a useful reference point for patients with high-deductible plans or those without insurance, as it may be lower than the final amount an insurer negotiates after applying deductibles and co-pays.
Patients should verify whether their specific insurance plan has a negotiated rate that exceeds the cash price, as paying out-of-pocket might result in lower out-of-pocket costs. Additionally, patients are encouraged to ask the billing department about self-pay or prompt-pay discounts, which can reduce the total amount due by 20% to 50% when paid in full upfront. Since over 80% of hospital bills contain errors, consumers should request a detailed, itemized bill before making any payments to ensure all charges are accurate and to identify any unbundled codes or services not rendered.