Blood test, lipase
Facility: Greenwood County Hospital
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $67
- Cash Discount Price: $63
- vs. Medicare Baseline: 9.72x 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 972% of the Medicare baseline (a markup of 872%). 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 | $5 - $66 | 73% |
| Blue Cross Blue Shield | $26 - $28 | 377% |
| Triwest - All Plans | $28 | 406% |
| Choicecare Mcr Adv - All Plans | $33 | 479% |
| Tricare | $33 | 479% |
| Integrated Health Plan - All Plans | $59 | 856% |
| Beech Street - All Plans | $67 | 972% |
| First Health - All Other Plans | $67 | 972% |
| First Health Ccn Network | $67 | 972% |
| Preferred Hs (Coventry) - All Plans | $71 | 1030% |
| Principal Health Care Inc - All Plans | $75 | 1089% |
| Amerigroup Mcaid-All Plans | $79 | 1147% |
| Medicaid / KanCare | $79 | 1147% |
| Providrs Care/Wppa - All Plans | $118 | 1713% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Greenwood County Hospital, the cash price of $63.00 is lower than the facility's negotiated rates, which range from $5 to $118 across 14 different insurance plans. While the median negotiated rate is $67.00, patients with high-deductible plans may find paying the cash price directly more cost-effective, as the insurance allowed amount often exceeds the cash rate. It is important to note that while the facility is a Critical Access Hospital in Eureka, KS, with government-local ownership, the specific cash price of $63.00 does not appear to be explicitly compared to a statewide or countywide average in the provided data, so patients should verify local pricing benchmarks directly with the hospital or their insurer.
To avoid unexpected costs, patients should request a prompt-pay discount before scheduling, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, if a patient receives a bill from an out-of-network provider at this in-network facility, they may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency services. If a bill is received, patients should demand a full itemized audit rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Disputing these errors in writing can significantly reduce medical debt, ensuring the final charge reflects only the actual services provided.