CMS Price Transparency Data

Blood test, lipase

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $70
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 10.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at University of Texas M. D. Anderson Cancer Center is $70. 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 10.16x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $70 (1016%)
Ins. Median: $70 (1016% 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 1016% of the Medicare baseline (a markup of 916%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Texaschildrens $6 - $51 87%
Medicare (plans) $36 - $51 522%
Vacare $36 - $51 522%
Memorialhermannhealth $53 - $88 769%
Blue Cross Blue Shield $57 - $84 827%
Cigna $57 - $88 827%
UnitedHealthcare $57 - $88 827%
Aetna $59 - $88 856%
Humana $61 - $90 885%
Ontarioministriesofhealth $61 - $87 885%
Beijingst.Lucia $62 - $88 900%
Embassyofqatar $62 - $88 900%
Emergingtherapysolutions $62 - $94 900%
Interlink $62 - $99 900%
Tricare $62 - $88 900%
Emergingtherapysolutions_Cancercare $66 - $94 958%
Interlink_Cancercare $66 - $94 958%
Saudiarmedforces $66 - $94 958%
Uae_Medical $66 - $94 958%
Uaepoliceattache $66 - $94 958%
Healthsmart $70 - $99 1016%
Multiplan $70 - $101 1016%
Phcs $70 - $101 1016%
Vantage $70 - $99 1016%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL