Blood test, lipase
Facility: Great Plains Of Sabetha
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $43
- Cash Discount Price: $45
- vs. Medicare Baseline: 6.24x 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 624% of the Medicare baseline (a markup of 524%). 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 |
|---|---|---|
| Celtic Mcr Adv | $23 | 334% |
| Aetna | $24 - $45 | 348% |
| Celtic Comm Exchange-All Other Plans | $29 | 421% |
| Great West Healthcare-All Plans | $38 | 552% |
| UnitedHealthcare | $42 - $45 | 610% |
| Century/Wppa/Providers-All Plans | $43 | 624% |
| Federated Mutual Ins-All Plans | $43 | 624% |
| Humana | $43 | 624% |
| Multiplan-Phcs-All Plans | $43 | 624% |
| Cigna | $43 | 624% |
| Medicaid / KanCare | $45 | 653% |
| Blue Cross Blue Shield | $45 | 653% |
Consumer Guidance & Cost Commentary
For the blood test code 83690 at Great Plains Of Sabetha in Sabetha, Kansas, the facility's cash median rate is $45.00, which matches the gross charge listed. This cash price is notably higher than the state average for this service, which is $38.00. While the facility's negotiated rates with insurance payers range from $23.00 to $45.00, patients should be aware that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures. In cases where a patient has a high deductible or is self-pay, paying the cash price of $45.00 upfront can be more cost-effective than relying on insurance, which may result in higher allowed amounts before deductibles are met.
Patients are encouraged to verify their specific plan details and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. It is important to compare these facility-specific rates against the broader context of the region; for instance, the facility's cash rate is higher than the state median, but some insurance payers negotiate rates as low as $23.00, which is significantly below the cash price. To ensure you are receiving the best possible price, always request an itemized bill before paying and avoid accepting summary invoices that may hide errors or unbundled charges.