Blood test, lipase
Facility: Kansas Surgery & Recovery Center
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $7
- Cash Discount Price: $32
- 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 |
|---|---|---|
| UnitedHealthcare | $3 - $7 | 44% |
| Triwest | $7 | 102% |
| Blue Cross Blue Shield | $7 - $19 | 102% |
| Aetna | $7 - $23 | 102% |
| Cigna | $12 | 174% |
Consumer Guidance & Cost Commentary
For the CPT code 83690, representing a blood test for lipase, the Kansas Surgery & Recovery Center in Wichita lists a cash price of $32.00, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $6.89, reflecting the standard markup for commercial services. While the facility offers a negotiated rate of $7.00 for in-network payers like UnitedHealthcare and Triwest, patients should verify their specific plan details, as commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures. In this case, the cash price of $32.00 is notably lower than the median negotiated rate of $7.00 reported for this service, suggesting that patients with high-deductible plans might save money by paying cash directly rather than relying on insurance coverage.
To maximize savings, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid upfront. It is also important to request a full itemized bill before scheduling, as summary invoices may obscure individual charges or lead to balance billing if ancillary services are out-of-network, though the No Surprises Act protects against such billing for emergency care at in-network facilities. Since the facility is a voluntary non-profit acute care hospital in Kansas, comparing these rates to state or county averages can help identify if the pricing aligns with regional norms, but the most effective strategy remains confirming your deductible status and exploring direct payment options prior to receiving care.