CMS Price Transparency Data

Blood test, lipase

Facility: HCA Houston Healthcare Conroe

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $937
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Houston Healthcare Conroe is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $937. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$937

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $937 (13599%)
Insurance Median: $8 (116%)
Cash: $937 (13599% of Medicare)
Ins. Median: $8 (116% 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
Aetna $6 - $45 87%
Amerigroup $6 - $7 87%
Community Health Choice Mcd $6 87%
Liberty County Indigent $6 87%
Molina Healthcare $6 - $15 87%
Texas Childrens Health Plans $6 - $191 87%
Texas Health Network $6 87%
United $6 - $421 87%
American Health Plan $7 102%
Blue Cross Blue Shield $7 - $328 102%
Christus (Usfhp) $7 102%
Cigna $7 - $36 102%
Devoted Health $7 102%
Geo Group - Joe Corley Detention Facility $7 102%
Humana $7 - $92 102%
Integranet Amerigroup Ipa $7 102%
Kelsey Seybold $7 102%
Oscar $7 - $20 102%
Procare Advantage $7 102%
Provider Partners Health Plan Of Texas $7 102%
Shared Health $7 102%
Superior Health Plan $7 - $56 102%
Triwest Healthcare Alliance $7 102%
Van Lang Ipa $7 102%
Wellcare $7 102%
Wellmed $7 102%
Molina $8 116%
Universal Healthcare Group $8 116%
Verda Health Plan $9 131%
Community Health Choice $10 145%
Superior $10 - $11 145%
Corvel Corporation $14 203%
Omni Healthcare $14 203%
Healthcare Highways $21 305%
Tx Workforce Commission $225 3266%
Evry Health $256 3716%
Imagine Health $328 4761%
Healthsmart Preferred Care $403 - $796 5849%
Averde Health $421 6110%
Fidelis Securecare Of Tx $421 6110%
Coventry National First Health $499 7242%
Physicians Cooperative Of Texas $515 7475%
Rockport Workers Comp $515 7475%
Independent Medical System $562 8157%
National Healthcare Solutions $562 8157%
Southwest Medical $562 8157%
Coastal Comp $609 8839%
Multiplan $702 - $796 10189%
Physicians, Inc $796 11553%
Affiliated Ppo $843 12235%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 504 Medical Center Blvd, Conroe, TX 77304
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals