Blood test, lipase
Facility: Kearny County Hospital
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $81
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 11.76x 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 1176% of the Medicare baseline (a markup of 1076%). 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 |
|---|---|---|
| Humana | $55 | 798% |
| Blue Cross Blue Shield | $81 | 1176% |
| Meritain Health | $81 | 1176% |
| Wps Gha - Mac J5 Part A | $81 | 1176% |
| Kansas Solutions | $81 | 1176% |
| UnitedHealthcare | $81 | 1176% |
| Aetna | $81 | 1176% |
| Community Care Health Plan Of | $81 | 1176% |
| Luminare Health | $81 | 1176% |
Consumer Guidance & Cost Commentary
For the CPT code 83690, representing a blood test for lipase, the negotiated rates at Kearny County Hospital in Lakin, Kansas, are consistently $81.00 across nine major payers, including UnitedHealthcare and Aetna. This negotiated amount aligns exactly with the facility's median negotiated rate and the gross charge listed, indicating no variation between commercial plans for this specific service. While the facility is a Critical Access Hospital with government-local ownership, the data does not provide specific cash-pay or self-pay rates; however, patients with high-deductible plans should be aware that paying cash upfront could sometimes result in a lower total cost if the insurance negotiated rate exceeds the cash price, though this specific code shows no such gap.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details before scheduling. If you are self-paying, you may be eligible for prompt-pay discounts, which can range from 20% to 50% off the billed amount when paid in full within a short window, effectively bypassing the administrative costs associated with insurance claims. Since the data indicates no cash median or negotiated variance, the most effective step is to contact the hospital directly to confirm if a self-pay or prompt-pay discount applies to this specific procedure before finalizing your payment.