CMS Price Transparency Data

Blood test, lipase

Facility: Mary Lanning Healthcare

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $12
Cash Discount Price: $76
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Mary Lanning Healthcare is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.74x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.

Cash / Self-Pay

$76

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: $76 (1103%)

Insurance Median: $12 (174%)

Cash: $76 (1103% 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.

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	$1 - $149	15%
Nhn/Mna-All Plans	$1 - $120	15%
Aetna	$5 - $131	73%
Tricare	$6	87%
UnitedHealthcare	$6 - $10	87%
Medica Mcr Adv	$7	102%
Ne Total Care Mcr Adv	$7	102%
Va Ccn - All Plans	$7	102%
Ambetter / Centene	$11 - $31	160%
Consociate Inc-All Plans	$11 - $125	160%
Medica-All Other Plans	$12 - $129	174%
Workers Compensation-All Plans	$15 - $146	218%
Multiplan-All Plans	$18 - $141	261%
Provider Network Of America-All Plans	$18 - $134	261%
Midlands Choice-All Plans	$134	1945%

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 $76.
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 Mary Lanning Healthcare 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.