Blood test, lipase
Facility: Wichita County Health Center
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $41
- Cash Discount Price: $36
- vs. Medicare Baseline: 5.95x 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 595% of the Medicare baseline (a markup of 495%). 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 |
|---|---|---|
| Medicaid / KanCare | $37 | 537% |
| UnitedHealthcare | $45 | 653% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Wichita County Health Center, the cash price of $36.00 is lower than the facility's negotiated rate of $41.00, meaning patients paying out-of-pocket may save money compared to using insurance. While the facility's cash rate is slightly higher than the state average of $36.00, it remains below the gross charge of $45.00. If you have a high-deductible plan, paying the cash price directly could be more cost-effective than your insurance paying its negotiated rate of $41.00, especially if your deductible has not yet been met. We recommend asking the billing office about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final amount owed.
When using insurance, be aware that the allowed amount of $37.00 is higher than the cash price, which can lead to balance billing if the provider bills the difference. Although the No Surprises Act protects patients from surprise bills for emergency care and non-emergency services at in-network facilities, it is important to verify that this specific lab service is covered under your plan and that no out-of-network ancillary services are involved. If you receive a bill exceeding the allowed amount, do not pay immediately; instead, request a formal itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected.