CMS Price Transparency Data

Blood test, lipase

Facility: Medical Center of McKinney

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $1,342
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Medical Center of McKinney is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,342. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$1,342

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: $1,342 (19478%)
Insurance Median: $10 (145%)
Cash: $1,342 (19478% 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
Aetna $6 - $975 87%
Amerigroup $6 - $7 87%
Cigna $6 - $1,073 87%
Molina $6 - $8 87%
Parkland Community Health Plan $6 87%
United $6 - $251 87%
American Health Plan Of Texas, Inc. $7 102%
Blue Cross Blue Shield $7 - $596 102%
Care N Care $7 102%
Devoted Health $7 102%
Humana $7 - $872 102%
Integranet $7 102%
Mutual Of Omaha $7 102%
Procare Advantge $7 102%
Provider Partners Health Plan $7 102%
Superior Health Plan $7 - $94 102%
Texas Independent Health Plan $7 102%
Triwest Veterans $7 102%
Wellcare $7 102%
Wellmed $7 102%
Cenpatico $8 116%
Imperial Insurance Company $8 116%
Universal Healthcare Group $8 116%
Verda Health Plan $9 131%
Bravo Health $10 145%
Superior $12 - $15 174%
Usa Managed Care $13 - $1,073 189%
Corvel Corporation $14 203%
Molina Healthcare $18 261%
Oscar $18 261%
Healthcare Highways $329 - $453 4775%
Evry Health $346 5022%
Unicare $349 - $1,342 5065%
City Of Mckinney $470 6821%
Fidelis Securecare $604 8766%
National Choicecare $671 9739%
Pc Texas Partners $738 10711%
Physicians Coop Of Tx $738 10711%
Rockport Health Group $738 10711%
Averde Health, Inc $778 11292%
Magellan Bh $805 11684%
Value Options Behavioral Health $805 11684%
Coastal Comp Health Networks $939 13628%
Mega Life $939 13628%
Multiplan Phcs $939 13628%
Lewisville Isd/Dls Consulting $1,006 14601%
Compsych Corporation $1,073 15573%
Healthsmart Preferred Care $1,073 15573%
Galaxy Health Network $1,140 16546%
Independent Medical Systems $1,342 19478%
National Healthcare Solutions $1,342 19478%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals