Blood test, lipase
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $7
- Cash Discount Price: $50
- 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 |
|---|---|---|
| Providrs Care Network | $7 | 102% |
| UnitedHealthcare | $7 - $8 | 102% |
| United Mine Workers Of America | $7 | 102% |
| Aetna | $7 - $9 | 102% |
| Humana | $7 | 102% |
| Blue Cross Blue Shield | $7 | 102% |
| Lantern Specialty Care | $11 | 160% |
Consumer Guidance & Cost Commentary
For the CPT code 83690 (Blood test, lipase) at Kansas Spine & Specialty Hospital, Llc, the cash median price is $50.00, which is significantly lower than the facility's gross charge of $78.00. While the facility is a physician-owned acute care hospital in Wichita, KS, the data does not provide specific state or county average figures for comparison. However, it is important to note that the facility's negotiated rate of $7.00 is substantially lower than the cash price, suggesting that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, using an in-network insurance plan may result in lower out-of-pocket costs than paying cash, provided the insurance allows the service.
The Medicare benchmark for this service is $6.89, which serves as the objective baseline for evaluating pricing markups. Although the facility's cash rate is higher than the Medicare amount, commercial negotiated rates vary widely among payers, ranging from $7.00 to $9.00 depending on the insurance plan. Patients should be aware that prompt-pay discounts, typically ranging from 20% to 50%, are often available for upfront cash payments and can further reduce the final bill. To ensure the most accurate pricing, it is recommended to contact the hospital directly to confirm self-pay or prompt-pay rates before scheduling, as these discounts may not be automatically applied to insurance claims.