CMS Price Transparency Data

Blood test, lipase

Facility: HCA Houston Healthcare Kingwood

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $9
  • Cash Discount Price: $898
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Houston Healthcare Kingwood is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $898. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$898

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

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: $898 (13033%)
Insurance Median: $9 (131%)
Cash: $898 (13033% of Medicare)
Ins. Median: $9 (131% 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 - $149 87%
Texas Health Network $6 87%
United $6 - $404 87%
American Health Plan $7 102%
Blue Cross Blue Shield $7 - $314 102%
Chc Harris Health $7 102%
Christus (Usfhp) $7 102%
Cigna $7 - $36 102%
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 - $54 102%
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%
Usa Managed Care $13 - $764 189%
Corvel Corporation $14 203%
Omni Healthcare $14 203%
Healthcare Highways $21 305%
Evry Health $245 3556%
Imagine Health $314 4557%
Kelsey Care (Boon-Chapman) $314 4557%
Healthsmart Preferred Care $386 - $764 5602%
Averde Health $404 5864%
Fidelis Securecare Of Tx $404 5864%
Coventry National First Health $479 6952%
Physicians Cooperative Of Texas $494 7170%
Rockport Workers Comp $494 7170%
Independent Medical System $539 7823%
National Healthcare Solutions $539 7823%
Southwest Medical $539 7823%
Coastal Comp $584 8476%
Multiplan $674 - $764 9782%
Physicians, Inc $764 11089%
Affiliated Ppo $809 11742%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22999 Us Hwy 59, Kingwood, TX 77325
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals