CMS Price Transparency Data

Blood test, lipase

Facility: Medical City Lewisville

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $1,041
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Medical City Lewisville is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,041. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$1,041

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: $1,041 (15109%)
Insurance Median: $10 (145%)
Cash: $1,041 (15109% 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
Cook Childrens Health Plan $4 58%
Aetna $6 - $756 87%
Amerigroup $6 - $7 87%
Cigna $6 - $146 87%
Molina $6 - $8 87%
Parkland Community Health Plan $6 87%
Texas Health Network $6 87%
United $6 - $207 87%
American Health Plan Of Texas, Inc. $7 102%
Blue Cross Blue Shield $7 - $462 102%
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 - $73 102%
Texas Independent Health Plan $7 102%
Triwest Health Alliance $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 - $832 189%
Corvel Corporation $14 203%
Molina Healthcare $18 261%
Oscar $18 261%
Unicare $250 - $1,041 3628%
Healthcare Highways $255 - $352 3701%
Evry Health $268 3890%
City Of Mckinney $468 6792%
Fidelis Securecare $468 6792%
National Choicecare $520 7547%
Pc Texas Partners $572 8302%
Physicians Coop Of Tx $572 8302%
Rockport Health Group $572 8302%
Averde Health, Inc $604 8766%
Usc Health Services $624 9057%
Coastal Comp Health Networks $728 10566%
Jostens $728 10566%
Mega Life $728 10566%
Multiplan Phcs $728 10566%
Healthsmart Preferred Care $780 11321%
Lewisville Isd/Dls Consulting $780 11321%
Galaxy Health Network $884 12830%
Independent Medical Systems $1,041 15109%
National Healthcare Solutions $1,041 15109%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals