Blood test, lipase
Facility: Kingman Healthcare Center
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $7
- Cash Discount Price: $15
- vs. Medicare Baseline: 1.02x 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.
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 |
|---|---|---|
| Celtic Insurance Company | $2 - $23 | 29% |
| Humana | $2 - $21 | 29% |
| Medicaid / KanCare | $2 - $23 | 29% |
| UnitedHealthcare | $2 - $47 | 29% |
| Wellcare | $2 - $21 | 29% |
| Ambetter / Centene | $3 - $23 | 44% |
| Health Partners | $5 - $47 | 73% |
| Aetna | $5 - $47 | 73% |
| Cigna | $5 - $47 | 73% |
| Healthy Blue | $7 | 102% |
| Triwest | $7 | 102% |
Consumer Guidance & Cost Commentary
For the blood test code 83690 (lipase) at Kingman Healthcare Center, the cash median price is $15.00, which is significantly lower than the facility's gross charge of $29.00. While the facility is a Critical Access Hospital in Kingman, KS, and operates as a voluntary non-profit, the data does not provide specific state or county average figures for this procedure to compare against. However, the negotiated rates paid by insurance payers range from $2.00 to $47.00, with the median negotiated amount being $7.00. This indicates that for patients with high-deductible plans, paying the cash price of $15.00 upfront could be more cost-effective than relying on insurance, as the insurer's allowed amount often exceeds the cash rate, potentially leading to higher out-of-pocket costs if the patient's deductible has not been met.
Patients should be aware that prompt-pay discounts, which can reduce bills by 20% to 50%, are often available if paid in full within a short window, but these must be requested before check-in to avoid automatic claims submission that voids the discount. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to verify that all ancillary services, such as lab tests, are covered under the facility's network agreements. To ensure accuracy, consumers should request a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.