CMS Price Transparency Data

Blood test, lipase

Facility: Summerlin Hospital Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $87
Cash Discount Price: $189
vs. Medicare Baseline: 12.63x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Summerlin Hospital Medical Center is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 12.63x the Medicare baseline. Located in 657 Town Center Drive, Las Vegas, NV.

Cash / Self-Pay

$189

Average discount available for prompt cash payment at this facility.

Insurance Median

$87

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: $189 (2743%)

Insurance Median: $87 (1263%)

Cash: $189 (2743% of Medicare)

Ins. Median: $87 (1263% 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 1263% of the Medicare baseline (a markup of 1163%). 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
Blue Cross Blue Shield	$3 - $5	44%
Molina	$5	73%
Silver_Summit	$5	73%
Smart_Choice	$5	73%
Cigna	$6 - $8	87%
Humana	$7	102%
United_Healthcare	$10	145%
Prominence	$39 - $115	566%
Sierra_Health_Options	$53 - $136	769%
Aetna	$86 - $487	1248%
Sierra_Health_Plan_Of_Nevada	$88 - $227	1277%
Multiplan	$159 - $409	2308%

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 $189.
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 Summerlin Hospital 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.