CMS Price Transparency Data

Blood test, lipase

Facility: Centerpoint Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $13
Cash Discount Price: $653
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Centerpoint Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $653. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.89x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$653

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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: $653 (9478%)

Insurance Median: $13 (189%)

Cash: $653 (9478% of Medicare)

Ins. Median: $13 (189% 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.

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
Cigna	$3 - $523	44%
Aetna	$7 - $333	102%
Amerigroup	$7	102%
Blue Cross Blue Shield	$7 - $300	102%
Celtic	$7	102%
Coventry	$7 - $263	102%
Devoted Health	$7	102%
Healthyblue	$7	102%
Home State Health Plan	$7	102%
Humana	$7 - $11	102%
Medicaid / KanCare	$7	102%
Pyramid Life	$7	102%
Unicare	$7	102%
United	$7 - $294	102%
Wellcare	$7	102%
Oscar	$10	145%
Multiplan	$12 - $483	174%
Corvel Corporation	$15 - $425	218%
Oha Network	$15 - $327	218%
Ambetter / Centene	$122	1771%
Nhc Advantage	$124	1800%
Wppa Providrs Care Network	$131	1901%
Universal Healthcare	$229	3324%
Coventry Kc Mo	$268	3890%
College Park Family Care Center	$281	4078%
Global Sports Services	$523	7591%
Cco, Inc.	$555	8055%
Focus Healthcare Mgmt, Inc	$588	8534%

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 $653.
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 Centerpoint 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.