CMS Price Transparency Data

Blood test, lipase

Facility: Medical City Dallas Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $11
  • Cash Discount Price: $1,062
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Medical City Dallas Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,062. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.60x the Medicare baseline. Located in 7777 Forest Lane, Dallas, TX.
Cash / Self-Pay
$1,062

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $1,062 (15414%)
Insurance Median: $11 (160%)
Cash: $1,062 (15414% of Medicare)
Ins. Median: $11 (160% 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
Cook Childrens Health Plan $4 58%
Aetna $6 - $625 87%
Amerigroup $6 - $7 87%
Cigna $6 - $584 87%
Molina $6 - $8 87%
Parkland Community Health Plan $6 87%
Texas Health Network $6 87%
United $6 - $228 87%
American Health Plan Of Texas, Inc. $7 102%
Blue Cross Blue Shield $7 - $471 102%
Care N Care $7 102%
Devoted Health $7 102%
Humana $7 - $77 102%
Integranet $7 102%
Mutual Of Omaha $7 102%
Procare Advantge $7 102%
Provider Partners Health Plan $7 102%
Superior Health Plan $7 - $74 102%
Texas Independent Health Plan $7 102%
Triwest Veterans $7 102%
Wellcare $7 102%
Wellmed $7 102%
Imperial Insurance Company $8 116%
Triwest Health Alliance $8 116%
Universal Healthcare Group $8 116%
Verda Health Plan $9 131%
Bravo Health $10 145%
Superior $12 - $15 174%
Usa Managed Care $13 - $849 189%
Corvel Corporation $14 203%
Molina Healthcare $18 261%
Oscar $18 261%
UnitedHealthcare $117 - $945 1698%
Religious Order Of Jehovah Witness $212 3077%
Unicare $255 - $1,062 3701%
Healthcare Highways $260 - $359 3774%
Healthcare Highways Ntx $271 - $372 3933%
Evry Health $274 3977%
Prominence Health Plan $425 6168%
City Of Mckinney $478 6938%
Fidelis Securecare $478 6938%
Emerging Therapy Solutions $520 - $743 7547%
National Choicecare $531 7707%
Pc Texas Partners $584 8476%
Physicians Coop Of Tx $584 8476%
Rockport Health Group $584 8476%
Texas Instruments $595 8636%
Averde Health, Inc $616 8940%
Coastal Comp Health Networks $743 10784%
Mega Life $743 10784%
Multiplan Phcs $743 10784%
Healthsmart Preferred Care $754 10943%
Lewisville Isd/Dls Consulting $796 11553%
Usc Health Services $849 12322%
Galaxy Health Network $902 13091%
Independent Medical Systems $1,062 15414%
National Healthcare Solutions $1,062 15414%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7777 Forest Lane, Dallas, TX 75230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals