CMS Price Transparency Data

Blood test, lipase

Facility: Grady Memorial Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $31
Cash Discount Price: $22
vs. Medicare Baseline: 4.50x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Grady Memorial Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 4.50x the Medicare baseline. Located in 2220 Iowa Street, Chickasha, OK.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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: $22 (319%)

Insurance Median: $31 (450%)

Cash: $22 (319% of Medicare)

Ins. Median: $31 (450% 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 450% of the Medicare baseline (a markup of 350%). 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	$7 - $22	102%
Humana	$7 - $63	102%
Veterans Affairs	$7	102%
Healthchoice	$9	131%
Medica	$15 - $29	218%
Generations Healthcare	$21 - $41	305%
Global Health	$21 - $63	305%
Cigna	$25 - $48	363%
Healthcare Highways	$25 - $48	363%
Webtpa	$25 - $48	363%
Aetna	$30 - $58	435%
Multiplan	$31 - $63	450%
Community Care	$32 - $63	464%
First Health	$32 - $63	464%
UnitedHealthcare	$32 - $63	464%

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 $22.
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 Grady Memorial Hospital 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.