CMS Price Transparency Data

Blood test, lipase

Facility: HCA Houston Healthcare Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $597
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Houston Healthcare Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $597. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 1313 Hermann Dr, Houston, TX.
Cash / Self-Pay
$597

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: $597 (8665%)
Insurance Median: $10 (145%)
Cash: $597 (8665% 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
Superior Health Plan $2 - $52 29%
United $5 - $389 73%
Aetna $6 - $45 87%
Community Health Choice Mcd $6 87%
Molina Healthcare $6 - $15 87%
American Health Plan $7 102%
Blue Cross Blue Shield $7 - $303 102%
Christus (Usfhp) $7 102%
Cigna $7 - $36 102%
Devoted Health $7 102%
Humana $7 - $92 102%
Integranet Amerigroup Ipa $7 102%
Oscar $7 - $20 102%
Procare Advantage $7 102%
Provider Partners Health Plan Of Texas $7 102%
Shared Health $7 102%
Triwest Health Alliance $7 102%
Triwest Healthcare Alliance $7 102%
Van Lang Ipa $7 102%
Wellcare $7 102%
Wellmed $7 102%
Evry Health $8 - $236 116%
Molina $8 116%
Verda Health Plan $9 131%
Community Health Choice $10 145%
Superior $10 - $11 145%
Coventry National First Health $15 - $461 218%
Healthcare Highways $21 305%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1313 Hermann Dr, Houston, TX 77004
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals