Blood test, lipase
Facility: Neosho Memorial Regional Medical Center
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $48
- Cash Discount Price: $113
- vs. Medicare Baseline: 6.97x 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 697% of the Medicare baseline (a markup of 597%). 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 |
|---|---|---|
| Medicaid / KanCare | $7 | 102% |
| Blue Cross Blue Shield | $31 - $48 | 450% |
| Tricare | $46 | 668% |
| Humana | $48 | 697% |
| Medicare (plans) | $48 | 697% |
| Medadv_Allwell | $48 | 697% |
| Medadv_Uhc | $48 | 697% |
| Va_Ccn | $48 | 697% |
| Aetna | $48 | 697% |
| Ambetter / Centene | $51 | 740% |
| United | $125 | 1814% |
| Wppa_Providrscare | $125 | 1814% |
| Cigna | $143 | 2075% |
| Hpk | $143 | 2075% |
| Coventry | $143 | 2075% |
Consumer Guidance & Cost Commentary
For the blood test code 83690 at Neosho Memorial Regional Medical Center in Chanute, Kansas, the facility's cash price of $113.00 is notably higher than the state average of $102.00, though it remains below the gross chargemaster rate of $151.00. While commercial insurance plans like United and Cigna negotiate rates as high as $143.00, which exceeds the cash price, patients with high-deductible plans may find paying the cash rate directly more cost-effective. This is because the negotiated rates often include administrative overhead and contract premiums that push the final allowed amount above the direct cash price, meaning the patient could save money by paying out-of-pocket if their insurance coverage does not yet cover the full cost.
To minimize unexpected costs, patients should verify their specific plan's deductible status before scheduling, as paying a high negotiated rate before meeting the deductible can result in significant out-of-pocket expenses. Additionally, since this facility is a Critical Access Hospital with government ownership, it is recommended to explicitly ask about "self-pay" or "prompt-pay" discounts before check-in, which can reduce the bill by 20% to 50% by bypassing insurance billing cycles. Finally, if a balance bill arises from an out-of-network ancillary service, patients should not pay immediately; instead, they should request an itemized audit to identify errors or dispute the charge under the No Surprises Act protections.