CMS Price Transparency Data

Blood test, lipase

Facility: Frankfort Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $92
Cash Discount Price: $529
vs. Medicare Baseline: 13.35x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Frankfort Regional Medical Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $529. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 13.35x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.

Cash / Self-Pay

$529

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $529 (7678%)

Insurance Median: $92 (1335%)

Cash: $529 (7678% of Medicare)

Ins. Median: $92 (1335% 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 1335% of the Medicare baseline (a markup of 1235%). 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 - $7	87%
Aetna	$7	102%
Coventry Cares	$7	102%
Devoted Health	$7	102%
Horizon Pace	$7	102%
Humana	$7 - $158	102%
Molina	$7	102%
United	$7 - $257	102%
United Behavioral Health	$7	102%
United Va	$7	102%
Wellcare	$7 - $8	102%
Corvel	$40 - $92	581%
Prime Health	$40 - $92	581%
Signature Advantage	$47 - $109	682%
Cigna	$73 - $168	1060%
Essence Healthcare	$112 - $257	1626%
Baptist Health Network	$135 - $309	1959%
Hospice Of Central Kentucky	$157 - $360	2279%
Occupational Mc Alliance	$199 - $457	2888%
Multiplan	$237 - $543	3440%

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 $529.
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 Frankfort Regional Medical Center 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.