CMS Price Transparency Data

Blood test, lipase

Facility: Medical City North Hills

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $668
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Medical City North Hills is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $668. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$668

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $668 (9695%)
Insurance Median: $10 (145%)
Cash: $668 (9695% of Medicare)
Ins. Median: $10 (145% 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
Cook Childrens Health Plan $4 58%
Aetna $6 - $486 87%
Amerigroup $6 - $7 87%
Cigna $6 - $535 87%
Molina $6 - $8 87%
Parkland Community Health Plan $6 87%
United $6 - $144 87%
American Health Plan Of Texas, Inc. $7 102%
Blue Cross Blue Shield $7 - $297 102%
Care N Care $7 102%
Devoted Health $7 102%
Humana $7 - $77 102%
Integranet $7 102%
Mutual Of Omaha $7 102%
Procare Advantge $7 102%
Provider Partners Health Plan $7 102%
Superior Health Plan $7 - $47 102%
Texas Independent Health Plan $7 102%
Triwest Veterans $7 102%
Wellcare $7 102%
Wellmed $7 102%
Cenpatico $8 116%
Imperial Insurance Company $8 116%
Triwest Health Alliance $8 116%
Universal Healthcare Group $8 116%
Verda Health Plan $9 131%
Bravo Health $10 145%
Superior $12 - $15 174%
Usa Managed Care $13 - $535 189%
Corvel Corporation $14 203%
Molina Healthcare $18 261%
Oscar $18 261%
Unicare $140 - $668 2032%
Healthcare Highways $164 - $226 2380%
Evry Health $172 2496%
City Of Mckinney $301 4369%
Fidelis Securecare $301 4369%
National Choicecare $334 4848%
Pc Texas Partners $368 5341%
Physicians Coop Of Tx $368 5341%
Rockport Health Group $368 5341%
Averde Health, Inc $388 5631%
Magellan Behavior Health $401 5820%
Coastal Comp Health Networks $468 6792%
Mega Life $468 6792%
Multiplan Phcs $468 6792%
Healthsmart Preferred Care $501 7271%
Lewisville Isd/Dls Consulting $501 7271%
Usc Health Services $535 7765%
Galaxy Health Network $568 8244%
Independent Medical Systems $668 9695%
National Healthcare Solutions $668 9695%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals