CMS Price Transparency Data

Blood test, lipase

Facility: Medical City Plano

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $759
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Medical City Plano is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $759. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$759

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: $759 (11016%)
Insurance Median: $10 (145%)
Cash: $759 (11016% 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 - $459 87%
Amerigroup $6 - $7 87%
Cigna $6 - $106 87%
Molina $6 - $8 87%
Parkland Community Health Plan $6 87%
United $6 - $132 87%
American Health Plan Of Texas, Inc. $7 102%
Blue Cross Blue Shield $7 - $337 102%
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 - $53 102%
Texas Independent Health Plan $7 102%
Triwest Health Alliance $7 102%
Triwest Veterans $7 102%
Wellcare $7 102%
Wellmed $7 102%
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 - $607 189%
Corvel Corporation $14 203%
Molina Healthcare $18 261%
Oscar $18 261%
Healthcare Highways $186 - $256 2700%
Evry Health $196 2845%
Lifecare Hospitals $228 3309%
Prominence Health Plan $303 4398%
City Of Mckinney $341 4949%
Fidelis Securecare $341 4949%
National Choicecare $379 5501%
Pc Texas Partners $417 6052%
Physicians Coop Of Tx $417 6052%
Rockport Health Group $417 6052%
Averde Health, Inc $440 6386%
Texas Healthcare Foundation Wc $493 7155%
Coastal Comp Health Networks $531 7707%
Mega Life $531 7707%
Multiplan Phcs $531 7707%
Healthsmart Preferred Care $569 8258%
Lewisville Isd/Dls Consulting $569 8258%
Usc Health Services $607 8810%
Galaxy Health Network $645 9361%
Independent Medical Systems $759 11016%
National Healthcare Solutions $759 11016%
Unicare $759 11016%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals