CMS Price Transparency Data

Blood test, lipase

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $22
Cash Discount Price: $48
vs. Medicare Baseline: 3.19x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Uofl Health - Shelbyville Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 3.19x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.

Cash / Self-Pay

$48

Average discount available for prompt cash payment at this facility.

Insurance Median

$22

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%)

Cash / Self-Pay: $48 (697%)

Insurance Median: $22 (319%)

Cash: $48 (697% of Medicare)

Ins. Median: $22 (319% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 319% of the Medicare baseline (a markup of 219%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$6 - $54	87%
Humana	$6 - $21	87%
Aetna	$7 - $21	102%
Communicare	$7	102%
Devoted	$7	102%
Essence Health	$7	102%
Passport	$7 - $62	102%
Senior Care Communty Of Ky	$7	102%
Signature	$7 - $62	102%
UnitedHealthcare	$7 - $60	102%
Va Ccn	$7	102%
Wellcare	$7 - $20	102%
Key Benefit Administrators	$9	131%
Velocity	$9 - $122	131%
Cigna	$11	160%
Prime Group Health	$44 - $106	639%
Encore	$75	1089%
Multiplan	$82 - $112	1190%
Omca	$119	1727%
Corvel	$125	1814%
Cshn	$125	1814%
Health Smart	$125	1814%
National Comp Care	$125	1814%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $48.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Uofl Health - Shelbyville Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.