CMS Price Transparency Data

Blood test, lipase

Facility: Lee's Summit Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $12
  • Cash Discount Price: $378
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Lee's Summit Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $378. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.74x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.
Cash / Self-Pay
$378

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $378 (5486%)
Insurance Median: $12 (174%)
Cash: $378 (5486% of Medicare)
Ins. Median: $12 (174% 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
Cigna $3 - $302 44%
Aetna $7 - $193 102%
Amerigroup $7 102%
Blue Cross Blue Shield $7 - $163 102%
Celtic $7 102%
Coventry $7 - $152 102%
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 - $170 102%
Wellcare $7 102%
Oscar $10 145%
Multiplan $12 - $280 174%
Corvel Corporation $15 - $246 218%
Oha Network $15 - $189 218%
Ambetter / Centene $70 1016%
Nhc Advantage $72 1045%
Wppa Providrs Care Network $76 1103%
Universal Healthcare $132 1916%
Coventry Kc Mo $155 2250%
College Park Family Care Center $163 2366%
Focus Healthcare Mgmt, Inc $284 4122%
Cco, Inc. $321 4659%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2100 Se Blue Parkway, Lees Summit, MO 64063
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals