Blood test, lipase
Facility: Grisell Memorial Hospital
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $38
- Cash Discount Price: $63
- vs. Medicare Baseline: 5.52x 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 552% of the Medicare baseline (a markup of 452%). 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 |
|---|---|---|
| UnitedHealthcare | $5 - $49 | 73% |
| Blue Cross Blue Shield | $26 | 377% |
| Humana | $66 | 958% |
| Medicaid / KanCare | $66 | 958% |
Consumer Guidance & Cost Commentary
For the blood test for lipase (CPT 83690) at Grisell Memorial Hospital in Ransom, Kansas, the facility's cash median price is $63.00, which is slightly lower than the state average of $66.00. While the hospital's negotiated rates with major payers like UnitedHealthcare, Blue Cross Blue Shield, and Humana range from $5 to $66, the cash price remains a competitive option for patients without insurance or those with high-deductible plans. Because commercial insurance contracts often include administrative overhead that inflates the baseline price by 20% to 40%, paying cash directly can sometimes result in a lower total cost than what your insurer would allow, provided you have met your deductible.
To ensure you are receiving the most accurate pricing, it is crucial to request an itemized billing audit before finalizing payment, as summary bills often obscure individual code costs and may include unbundled charges or services not rendered. Additionally, patients should verify if the facility offers a prompt-pay discount, which could reduce the bill by 20% to 50% if paid in full upfront, effectively bypassing the costly claims processing cycle. Since this facility is a Critical Access Hospital owned by a Government Hospital District, you should contact them directly to confirm their specific self-pay or prompt-pay rates, as these discounts are often not automatically applied and must be requested prior to scheduling or check-in.