CMS Price Transparency Data

Blood test, lipase

Facility: Ascension St John Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $9
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Ascension St John Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 1923 South Utica Avenue, Tulsa, OK.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $33 (479%)
Insurance Median: $9 (131%)
Cash: $33 (479% of Medicare)
Ins. Median: $9 (131% 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.

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 - $19 102%
Champva $7 102%
Community Care - St John Network Senior - Govt $7 - $121 102%
Communitycare Senior $7 - $121 102%
First Health $7 - $60 102%
Humana $7 102%
Life Pace $7 102%
Longevity Health Plan Of Oklahoma $7 102%
Medicare (plans) $7 102%
UnitedHealthcare $7 - $28 102%
Va Community Care Network $7 102%
Veterans Administration $7 102%
Community Care (Select) 7/1/13 $8 116%
Communitycare (Standard) $8 116%
Ccl&H $9 131%
Community Care Smarthealth $10 - $17 145%
Communitycare (Select) $10 - $16 145%
Smarthealth $10 145%
Aetna $11 160%
Connect Health Benefit $14 203%
Evolutions $14 203%
Kempton Group Administrators $16 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1923 South Utica Avenue, Tulsa, OK 74104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals