CMS Price Transparency Data

Blood test, lipase

Facility: Research Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $15
  • Cash Discount Price: $435
  • vs. Medicare Baseline: 2.18x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Research Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $435. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 2.18x the Medicare baseline. Located in 2316 E Meyer Blvd, Kansas City, MO.
Cash / Self-Pay
$435

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

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: $435 (6313%)
Insurance Median: $15 (218%)
Cash: $435 (6313% of Medicare)
Ins. Median: $15 (218% 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 218% of the Medicare baseline (a markup of 118%). 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.

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
Cigna $3 - $218 44%
Aetna $7 - $222 102%
Amerigroup $7 102%
Blue Cross Blue Shield $7 - $170 102%
Celtic $7 102%
Coventry $7 - $175 102%
Devoted Health $7 102%
Healthyblue $7 102%
Humana $7 - $283 102%
Medicaid / KanCare $7 102%
Pyramid Life $7 102%
Triwest Health Alliance $7 102%
Unicare $7 102%
United $7 - $196 102%
UnitedHealthcare $7 - $435 102%
Wellcare $7 102%
Home State Health Plan $8 116%
Oscar $10 145%
Multiplan $12 - $322 174%
Corvel Corporation $15 - $283 218%
Oha Network $15 - $218 218%
Ambetter / Centene $81 1176%
Nhc Advantage $83 1205%
Wppa Providrs Care Network $87 1263%
Universal Healthcare $152 2206%
Coventry Kc Mo $178 2583%
College Park Family Care Center $187 2714%
Emerging Therapy Solutions $209 - $218 3033%
Focus Healthcare Mgmt, Inc $326 4731%
Cco, Inc. $348 5051%
Evernorth Behavioral Health $348 5051%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2316 E Meyer Blvd, Kansas City, MO 64132
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals