Blood test, lipase
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $28
- Cash Discount Price: $35
- vs. Medicare Baseline: 4.06x 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 406% of the Medicare baseline (a markup of 306%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $9 | 131% |
| UnitedHealthcare | $11 - $39 | 160% |
| Berkley Net-All Plans | $16 | 232% |
| Trustmark Health Benefits-All Plans | $17 | 247% |
| Aetna | $17 - $27 | 247% |
| Meritain Health-All Plans | $18 | 261% |
| Ambetter / Centene | $19 | 276% |
| Axa Equitable - All Plans | $21 | 305% |
| Pinnacol-All Plans | $22 | 319% |
| Medi-Share-All Plans | $22 | 319% |
| Presbyterian-All Plans | $24 | 348% |
| Kasb Work Comp - All Plans | $25 | 363% |
| Gpha(Wppa)-All Other Plans | $27 | 392% |
| The Kempton Group Admin-All Plans | $27 | 392% |
| Auxiant - All Plans | $27 | 392% |
| Emc-All Plans | $28 | 406% |
| Gpha Employee Benefit Plan | $28 | 406% |
| Providers Care Network- All Plans | $28 | 406% |
| Wppa- All Plans | $28 | 406% |
| Sisco-All Plans | $28 | 406% |
| Employee Benefit-All Plans | $29 | 421% |
| Regional Care(Wppa)-All Plans | $29 | 421% |
| One Call Physician-All Plans | $30 | 435% |
| First Health -All Plans | $30 | 435% |
| Triangle-All Plans | $30 | 435% |
| Blue Cross Blue Shield | $31 | 450% |
| Tricare | $31 | 450% |
| Christian Hospital Aid - All Plans | $31 | 450% |
| Luminare Health- All Plans | $34 | 493% |
| Cigna | $34 | 493% |
| Humana | $34 | 493% |
| Coresource-All Plans | $35 | 508% |
| Deseret Mutual(Uhis)-All Plans | $35 | 508% |
| Vaccn-All Plans | $36 | 522% |
| Hma Llc-All Plans | $37 | 537% |
| Reserve National-All Plans | $37 | 537% |
| Wps Vapc-All Plans | $37 | 537% |
| Medicaid / KanCare | $39 | 566% |
Consumer Guidance & Cost Commentary
For the CPT code 83690 (Blood test, lipase), the facility's cash price of $35.00 is lower than the average negotiated rates paid by most insurance plans, which range from $9 to $39 depending on the carrier. While the facility's cash rate is slightly below the state average of $35.00, patients with high-deductible plans may find paying out-of-pocket cheaper than using insurance, as many commercial payers negotiate rates that exceed the cash price. It is important to note that while the facility is a Critical Access Hospital in Satanta, KS, and is owned by a Government Hospital District, the specific negotiated rates vary significantly across the 38 different payers listed, with some plans paying as low as $9 and others up to $39.
To ensure you are receiving the best possible rate, we recommend requesting a "prompt-pay" discount if you choose to pay cash directly, as hospitals often offer immediate fee reductions for upfront payments. Additionally, if you have insurance, verify your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in higher out-of-pocket costs than paying cash. If you receive a bill that includes unexpected charges or a summary invoice, do not accept it as final; instead, request a full itemized audit to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected.