Blood test, lipase
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $52
- Cash Discount Price: $17
- vs. Medicare Baseline: 7.55x 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 755% of the Medicare baseline (a markup of 655%). 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 |
|---|---|---|
| Wppa [503200056] | $13 - $79 | 189% |
| Alt Wppa [5032000964] | $13 - $79 | 189% |
| Meritain Health [503200039] | $13 - $113 | 189% |
| Alt Carelon Behavioral Health [503200905] | $16 - $94 | 232% |
| Allied National [503999937] | $19 - $113 | 276% |
| Aetna | $19 - $113 | 276% |
| Aha-Healthcare Preferred [503200050] | $19 - $113 | 276% |
| National Assn Letter Carriers [503200019] | $19 - $113 | 276% |
| Cigna | $19 - $150 | 276% |
| First Health [5032000110] | $19 - $113 | 276% |
| Php [503200005] | $19 - $113 | 276% |
| Alt Meritain Health [503999911] | $19 - $113 | 276% |
| Correct Care Solutions [50311253] | $22 - $132 | 319% |
| Workers Comp [503999901] | $27 - $160 | 392% |
| Usa Managed Care [503999030] | $29 - $169 | 421% |
Consumer Guidance & Cost Commentary
For this blood test, lipase procedure (CPT 83690), the University of KS Health System Great Bend Campus lists a cash price of $17.00, which is significantly lower than the facility's negotiated rates of $52.00. While the facility is located in Great Bend, KS, the data provided does not include specific county or state average comparisons for this code. However, it is important to note that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures; for patients with high-deductible plans, paying the cash price of $17.00 upfront may result in lower out-of-pocket costs compared to the $52.00 allowed amount paid by insurers. Patients should verify their specific plan details and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill.
The facility's billing practices align with standard industry benchmarks where Medicare serves as the objective baseline for pricing. The Medicare amount for this service is $6.89, and the facility's cash rate of $17.00 represents a markup of 7.5% over the Medicare rate, which falls well within the range of fair pricing (typically 120% to 150% of Medicare). In contrast, the median negotiated rate of $52.00 reflects the higher costs associated with insurance claims processing and administrative overhead. To ensure you are not overcharged, we recommend requesting an itemized billing audit to review every line item and confirm that no unbundled codes or services not rendered have been included. If you choose to use insurance, be aware that your deductible status determines whether you