Blood test, lipase
Facility: Republic County Hospital
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $63
- Cash Discount Price: $51
- vs. Medicare Baseline: 9.14x 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 914% of the Medicare baseline (a markup of 814%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $58 | 842% |
| Meritain-All Plans | $61 | 885% |
| Aetna | $61 | 885% |
| UnitedHealthcare | $63 | 914% |
| First Health-All Plans | $65 | 943% |
| Cigna | $65 | 943% |
| Midlands Choice-All Plans | $65 | 943% |
Consumer Guidance & Cost Commentary
For this blood test for lipase at Republic County Hospital in Belleville, KS, the facility's cash price of $51.00 is lower than the state average of $61.00 and the county average of $51.00. While in-network insurance plans like Rural Carriers-All Plans and Meritain-All Plans have negotiated rates of $58.00 and $61.00 respectively, these amounts exceed the cash price. This suggests that patients with high-deductible plans might save money by paying the cash rate directly, provided they understand that commercial rates often include administrative overhead that pushes them higher than the true cost of care.
The facility's negotiated rates range from $58.00 to $65.00 across seven payers, which are significantly higher than the Medicare benchmark of $6.89. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is important to verify your specific plan details before scheduling. To ensure you receive the best possible price, we recommend asking the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront. Additionally, if you receive an itemized bill, request a full line-by-line audit to confirm that no unbundled codes or services not rendered have inflated your charges.