CMS Price Transparency Data

Blood test, lipase

Facility: Ascension Via Christi Rehabilitation Hospital Inc

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Ascension Via Christi Rehabilitation Hospital Inc is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 1151 N Rock Rd, Wichita, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)
Insurance Median: $7 (102%)
Ins. Median: $7 (102% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Smarthealth $6 - $10 87%
Blue Cross Blue Shield $7 102%
Medicare (plans) $7 102%
Va $7 102%
Humana $7 102%
Vc Hope $7 102%
UnitedHealthcare $7 - $19 102%
Cigna $10 145%
Medicaid / KanCare $12 174%
Aetna $22 - $24 319%
Coventry City Of Wichita $28 406%

Consumer Guidance & Cost Commentary

For the blood test, lipase procedure (CPT 83690) at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $6 to $28 depending on the insurance carrier. This price varies significantly based on your specific plan, with some payers like Aetna negotiating up to $24 and others like Cigna at $10. While the facility's cash median is not listed, it is important to note that cash payments can sometimes be more cost-effective for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price. To secure the lowest possible amount, we strongly recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront.

When evaluating costs, it is crucial to compare these rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. For this specific code, the Medicare amount is $6.89, and the facility's median negotiated rate is $7.00, indicating a pricing structure that aligns closely with federal cost baselines. Since the data does not provide specific county or state average comparisons for this procedure, patients should rely on the Medicare rate as the objective baseline to understand the true cost of care. If you receive a bill that appears higher than these benchmarks, you may be eligible for an itemized billing audit to identify errors, double-billing, or unbundled codes, as over 80% of hospital bills contain such discrepancies.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1151 N Rock Rd, Wichita, KS 67206
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL