Blood test, lipase
Facility: Osborne County Memorial Hospital
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $42
- Cash Discount Price: $39
- vs. Medicare Baseline: 6.10x 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 610% of the Medicare baseline (a markup of 510%). 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 | $35 | 508% |
| Health Partners Of Kansas | $40 | 581% |
| Wppa | $44 | 639% |
| Blue Cross Blue Shield | $45 | 653% |
Consumer Guidance & Cost Commentary
For this blood test for lipase at Osborne County Memorial Hospital, the cash price of $39.00 is notably lower than the facility's negotiated rates, which range from $35.00 to $45.00 depending on the insurance carrier. While the cash price is the lowest amount listed, it is important to note that for patients with high-deductible plans, paying the cash price upfront can sometimes be more cost-effective than using insurance, as the negotiated rates paid by insurers often exceed the cash rate. Additionally, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative fees associated with insurance claims processing.
When evaluating the cost relative to federal standards, the Medicare benchmark for this service is $6.89, which serves as a scientifically validated baseline for the true cost of delivery. The cash price of $39.00 represents a significant markup over this Medicare rate, illustrating how commercial pricing structures can differ substantially from government benchmarks. Since the facility is a Critical Access Hospital in Osborne, KS, and is government-owned, patients should be aware that while the facility is in-network for the four listed payers, the specific allowed amounts vary. To ensure you are receiving the most accurate pricing, it is recommended to request a full itemized bill before payment to identify any potential errors or unbundled charges that could be disputed.