Blood test, lipase
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $7
- Cash Discount Price: Unavailable
- 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 |
|---|---|---|
| Smarthealth | $6 - $10 | 87% |
| Vc Hope | $7 | 102% |
| Va | $7 | 102% |
| Blue Cross Blue Shield | $7 | 102% |
| Medicare (plans) | $7 | 102% |
| Saint Lukes Health Systems | $7 | 102% |
| UnitedHealthcare | $7 - $19 | 102% |
| Via Christi Research | $7 | 102% |
| Humana | $7 | 102% |
| Corizon | $9 | 131% |
| Medicaid / KanCare | $12 | 174% |
| Aetna | $22 | 319% |
| Coventry City Of Wichita | $28 | 406% |
Consumer Guidance & Cost Commentary
For the CPT code 83690 (Blood test, lipase), the facility's negotiated rates range from $6.00 to $28.00 across 13 different payers, with a median negotiated rate of $7.00. This price is consistent with the Medicare benchmark of $6.89, indicating that the facility's pricing aligns closely with the federal government's cost-based standard for this service. While the facility is a voluntary non-profit church-owned hospital in Wichita, KS, the data does not provide specific cash or self-pay rates; however, patients with high-deductible plans or those without insurance should inquire directly about "self-pay" or "prompt-pay" discounts, which can often reduce the final cost by 20% to 50% when paid upfront.
It is important to note that commercial insurance rates are often higher than cash prices due to administrative overhead and contract structures, meaning paying out-of-pocket might be more economical for some patients. Furthermore, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, though they should still verify that all ancillary services, such as specific lab components, are covered under their plan. If a patient receives an itemized bill, they should request a full line-by-line audit to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through formal written disputes.