CMS Price Transparency Data

Blood test, lipase

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $34
Cash Discount Price: Unavailable
vs. Medicare Baseline: 4.93x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Arthur G James Cancer Hospital and Research Institute is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 4.93x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

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%)

Insurance Median: $34 (493%)

Ins. Median: $34 (493% 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 493% of the Medicare baseline (a markup of 393%). 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
Healthspan	$13 - $5,413	189%
Humana	$13 - $5,521	189%
Medicare (plans)	$13 - $5,467	189%
Medigold	$13	189%
Upper Ohio Valley	$13 - $5,413	189%
Medicaid / KanCare	$15 - $21	218%
Aetna	$16 - $5,388	232%
United	$16 - $54	232%
Caresource	$19 - $29	276%
Mmo	$19 - $50	276%
Molina	$19 - $5,388	276%
Odrc	$21 - $24	305%
Amerihealth	$22 - $32	319%
Blue Cross Blue Shield	$22 - $56	319%
Buckeye Community	$22 - $29	319%
Osu Health Plan	$27 - $39	392%
Lifetrac	$38 - $40	552%
Ohio Ppo	$39	566%
Ohiohealth	$42 - $43	610%
Cigna	$43 - $46	624%
Frontpath	$47	682%
Healthsmart	$53	769%
Multiplan	$55	798%
Ohio Dept Of Health	$4,289	62250%

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 $X.
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 Arthur G James Cancer Hospital and Research Institute 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.