CMS Price Transparency Data

Blood test, lipase

Facility: Lafayette Regional Health Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $199
Cash Discount Price: $464
vs. Medicare Baseline: 28.88x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Lafayette Regional Health Center is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $464. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 28.88x the Medicare baseline. Located in 1500 State Street, Lexington, MO.

Cash / Self-Pay

$464

Average discount available for prompt cash payment at this facility.

Insurance Median

$199

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: $464 (6734%)

Insurance Median: $199 (2888%)

Cash: $464 (6734% of Medicare)

Ins. Median: $199 (2888% 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 2888% of the Medicare baseline (a markup of 2788%). 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
Aetna	$7 - $406	102%
Amerigroup	$7	102%
Healthyblue	$7	102%
Home State Health Plan	$7	102%
Medicaid / KanCare	$7	102%
Unicare	$7	102%
United	$7 - $209	102%
Corvel Corporation	$15 - $394	218%
Oha Network	$15 - $232	218%
Ambetter / Centene	$86	1248%
Nhc Advantage	$88	1277%
Universal Healthcare	$121	1756%
Humana	$157 - $199	2279%
Blue Cross Blue Shield	$176 - $464	2554%
College Park Family Care Center	$199	2888%
Oscar	$232	3367%
Cigna	$265 - $331	3846%
Wppa Providrs Care Network	$348	5051%
Multiplan	$362	5254%
Coventry	$370	5370%
Coventry Kc Mo	$370	5370%
Cco, Inc.	$394	5718%
Focus Healthcare Mgmt, Inc	$417	6052%

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 $464.
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 Lafayette Regional Health 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.