CMS Price Transparency Data

Blood test, lipase

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $92
Cash Discount Price: $47
vs. Medicare Baseline: 13.35x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Crystal Clinic Orthopaedic Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 13.35x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$47

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $47 (682%)

Insurance Median: $92 (1335%)

Cash: $47 (682% of Medicare)

Ins. Median: $92 (1335% 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 1335% of the Medicare baseline (a markup of 1235%). 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
Bc Mcr Adv	$7	102%
Summacare Mcr Adv	$7	102%
UnitedHealthcare	$7 - $133	102%
The Health Plan - All Plans	$14	203%
Aultcare - All Plans	$20	290%
Health Oh Network - All Plans	$38	552%
Ohio Health Choice - All Plans	$38	552%
Med Mutual Nas	$39	566%
Multiplan - All Plans	$42	610%
Healthsmart - All Plans	$54	784%
Bc Pathway	$79	1147%
Cigna	$106	1538%
Bc Ohi/Ohii	$108	1567%
Summacare Comm - All Other Plans	$117	1698%
Med Mutual Medflex	$118	1713%
Bc Blue Access	$120	1742%
Bc Preferred	$120	1742%
Bc Trad - All Other Plans	$120	1742%
Med Mutual Aca	$134	1945%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$147	2134%
Aetna	$149	2163%

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 $47.
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 Crystal Clinic Orthopaedic 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.