Blood test, lipase
Facility: Stanton County Hospital
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $104
- Cash Discount Price: $77
- vs. Medicare Baseline: 15.09x 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 1509% of the Medicare baseline (a markup of 1409%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $26 - $230 | 377% |
| Healthy Blue Mcr Adv - All Other Plans | $103 - $238 | 1495% |
| Healthy Blue Mcaid | $105 - $207 | 1524% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Stanton County Hospital, the cash price is $77.00, which is significantly lower than the facility's gross charge of $77.00 and the Medicare benchmark of $6.89. While the cash rate is higher than the Medicare amount, it is important to note that commercial insurance negotiated rates for this service range from $103.00 to $238.00 across three payers, meaning paying out-of-pocket could save you money if your insurance deductible is not yet met. Patients should verify their specific plan's deductible status before scheduling, as using insurance for shoppable tests can result in higher out-of-pocket costs if the negotiated rate exceeds the cash price. Additionally, you should ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront.
If you choose to use insurance, be aware that the allowed amounts vary by carrier, with Blue Cross Blue Shield plans seeing a low of $26.00 and Healthy Blue plans ranging from $103.00 to $238.00. Since this facility is an in-network Critical Access Hospital in Johnson, KS, the No Surprises Act protects you from balance billing for emergency care and non-emergency services from out-of-network providers at this location. However, if you receive a bill for a service not covered by federal protections, such as an unexpected ancillary charge, you should dispute the bill in writing with the insurer rather than paying immediately to avoid credit damage. Always request a full itemized CPT-coded bill before paying, as summary bills may hide