CMS Price Transparency Data

Blood test, lipase

Facility: Baylor Scott & White Medical Center- Waxahachie

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $13
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Baylor Scott & White Medical Center- Waxahachie is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.89x the Medicare baseline. Located in 2400 N Interstate Highway 35E, Waxahachie, TX.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $66 (958%)
Insurance Median: $13 (189%)
Cash: $66 (958% of Medicare)
Ins. Median: $13 (189% 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
Superior Health Plan $4 - $38 58%
Aetna $7 - $111 102%
American Health Plan $7 102%
Baylor Scott & White Health Plan $7 - $117 102%
Blue Cross Blue Shield $7 - $34 102%
Corvel $7 102%
Healthspring $7 102%
Humana $7 - $141 102%
Prime Health Services $7 102%
Procare Advantage $7 102%
Triwest $7 102%
UnitedHealthcare $8 - $11 116%
Cigna $10 - $117 145%
Employers Health Network $11 - $111 160%
Quiktrip $11 - $111 160%
University Of Mary Hardin-Baylor $11 - $117 160%
Imagine Health $12 - $126 174%
Curative $13 - $131 189%
Ambetter / Centene $14 203%
First Health $14 - $141 203%
Healthsmart $14 - $151 203%
Private Health Care System $15 - $151 218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 N Interstate Highway 35E, Waxahachie, TX 75165
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals