CMS Price Transparency Data

Blood test, lipase

Facility: HCA Houston Healthcare West

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $657
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Houston Healthcare West is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $657. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$657

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: $657 (9536%)
Insurance Median: $8 (116%)
Cash: $657 (9536% 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%
Molina Healthcare $6 - $15 87%
Texas Childrens Health Plans $6 - $109 87%
Texas Health Network $6 87%
United $6 - $296 87%
American Health Plan $7 102%
Blue Cross Blue Shield $7 - $230 102%
Chc Harris Health $7 102%
Christus (Usfhp) $7 102%
Cigna $7 - $526 102%
Devoted Health $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%
Renaissance Ipa Radiology $7 102%
Shared Health $7 102%
Superior Health Plan $7 - $39 102%
Triwest Health Alliance $7 102%
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%
Texas Workforce Commission $158 2293%
Evry Health $179 2598%
Imagine Health $230 3338%
Healthsmart Preferred Care $283 - $558 4107%
Averde Health $296 4296%
Fidelis Securecare Of Tx $296 4296%
Coventry National First Health $350 5080%
Physicians Cooperative Of Texas $361 5239%
Rockport Workers Comp $361 5239%
Independent Medical System $394 5718%
National Healthcare Solutions $394 5718%
Southwest Medical $394 5718%
Triumph $394 5718%
Coastal Comp $427 6197%
Multiplan $493 - $558 7155%
Physicians, Inc $558 8099%
Affiliated Ppo $591 8578%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals