Blood test, lipase
Facility: Lindsborg Community Hospital
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $106
- Cash Discount Price: $81
- vs. Medicare Baseline: 15.38x 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 1538% of the Medicare baseline (a markup of 1438%). 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 | $28 | 406% |
| Tricare | $54 | 784% |
| Coventry Mcr Adv | $55 | 798% |
| Cigna | $99 | 1437% |
| UnitedHealthcare | $104 | 1509% |
| Coventry Comm-All Other Plans | $104 | 1509% |
| Phcs Preferred-All Plans | $108 | 1567% |
| Multiplan-All Plans | $108 | 1567% |
| Century Health-All Plans | $110 | 1597% |
| Health Partners -All Plans | $110 | 1597% |
| Coventry Wc | $110 | 1597% |
| Wppa-All Plans | $110 | 1597% |
Consumer Guidance & Cost Commentary
For CPT code 83690, a blood test for lipase, Lindsborg Community Hospital in Kansas has a gross charge of $116.00. The facility's cash median rate is $81.00, which is lower than the state average of $108.00 for this service. While many insurance payers have negotiated rates ranging from $28 to $110, the cash price can be a more economical option for patients with high-deductible plans or those without coverage, as it avoids the administrative overhead and potential balance billing associated with insurance claims. Patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed by paying in full upfront.
The facility's negotiated rates vary significantly by payer, with the lowest allowed amount being $28.00 for Blue Cross Blue Shield and the highest at $110.00 for several other plans. It is important to note that these negotiated rates often exceed the cash price due to the costs of claims processing and contract management. Additionally, the facility's billing practices align with federal protections; under the No Surprises Act, patients are generally protected from balance billing for out-of-network services at in-network facilities. To ensure transparency, patients should request an itemized bill before payment to review specific CPT codes and avoid unexpected charges, while also confirming that any discounts applied are consistent with the facility's most-favored-nation pricing policies.