Blood test, lipase
Facility: Lane County Hospital
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $60
- Cash Discount Price: $60
- vs. Medicare Baseline: 8.71x 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 871% of the Medicare baseline (a markup of 771%). 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 | $54 - $60 | 784% |
| Aetna | $54 - $57 | 784% |
| Healthy Blue Mcr Adv - All Other Plans | $60 | 871% |
| Healthy Blue Mcaid | $60 | 871% |
| Medicaid / KanCare | $60 - $66 | 871% |
| Wppa Providers-All Plans | $90 | 1306% |
Consumer Guidance & Cost Commentary
For the CPT code 83690 (Blood test, lipase) at Lane County Hospital in Dighton, KS, the cash price is $60.00, which matches the facility's negotiated rates with UnitedHealthcare, Aetna, and Healthy Blue plans. This cash price is significantly higher than the Medicare benchmark of $6.89, indicating a markup of 8.7 times the federal rate. While commercial insurance contracts often cap payments at negotiated rates that can exceed cash prices, patients with high-deductible plans may find paying the $60.00 cash price directly more cost-effective than relying on insurance, especially if their plan's allowed amount is higher than the cash rate.
To minimize potential costs, patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these programs can reduce bills by 20% to 50% for upfront payment. It is also important to request a full itemized bill containing specific CPT codes rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled charges or services not rendered. If a patient receives a balance bill for out-of-network ancillary services, they should not pay immediately but instead dispute the charge with their insurer under the No Surprises Act to avoid unexpected costs.