CMS Price Transparency Data

Blood test, lipase

Facility: Hendrick Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $151
Cash Discount Price: $377
vs. Medicare Baseline: 21.92x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Hendrick Medical Center is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $377. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 21.92x the Medicare baseline. Located in 1900 Pine, Abilene, TX.

Cash / Self-Pay

$377

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $377 (5472%)

Insurance Median: $151 (2192%)

Cash: $377 (5472% of Medicare)

Ins. Median: $151 (2192% 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 2192% of the Medicare baseline (a markup of 2092%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Firstcare Star	$10	145%
Superior Health Plan	$11	160%
Wellpoint (Formerly Known As Amerigroup)	$11	160%
Blue Cross Blue Shield	$23 - $166	334%
Baylor Scott And White Health Plan	$111	1611%
UnitedHealthcare	$147 - $207	2134%
Cigna	$226	3280%
Aetna	$238	3454%
Private Healthcare Systems	$245 - $302	3556%
Healthsmart	$283	4107%
Omni Networks	$283 - $321	4107%
Multiplan	$336	4877%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $377.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hendrick Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.