CMS Price Transparency Data

Blood test, lipase

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $12
  • Cash Discount Price: $37
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.74x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.
Cash / Self-Pay
$37

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $37 (537%)
Insurance Median: $12 (174%)
Cash: $37 (537% of Medicare)
Ins. Median: $12 (174% 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 $2 - $62 29%
United Options Nexus $4 - $7 58%
UnitedHealthcare $4 - $53 58%
Aetna $6 - $38 87%
Molina $6 - $7 87%
Parkland $6 87%
Superior $6 - $7 87%
Wellpoint $6 - $37 87%
Ambetter / Centene $7 102%
Cigna $7 - $54 102%
Humana $7 102%
Procare $7 102%
Quiktrip $10 - $46 145%
Rockwall County $10 - $51 145%
Healthsmart $12 - $61 174%
Galaxy Health Network $13 - $64 189%
Healthfirst $13 - $41 189%
Multiplan $13 - $64 189%
Maestro Health/Fort Worth Firefighters $15 - $39 218%
Coventry $17 - $51 247%
Phcs $24 - $59 348%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6201 Harry Hines Blvd, Dallas, TX 75390
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals