CMS Price Transparency Data

Blood test, lipase

Facility: Texas Orthopedic Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $858
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Texas Orthopedic Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $858. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 7401 South Main Street, Houston, TX.
Cash / Self-Pay
$858

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $858 (12453%)
Insurance Median: $7 (102%)
Cash: $858 (12453% of Medicare)
Ins. Median: $7 (102% 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 - $40 87%
Amerigroup $6 - $7 87%
Community Health Choice Mcd $6 87%
Molina Healthcare $6 - $15 87%
Texas Childrens Health Plans $6 - $142 87%
Texas Health Network $6 87%
United $6 - $386 87%
American Health Plan $7 102%
Blue Cross Blue Shield $7 - $300 102%
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%
Shared Health $7 102%
Superior Health Plan $7 - $51 102%
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%
Corvel Corporation $14 203%
Omni Healthcare $14 203%
Healthcare Highways $21 305%
Texas Workforce Commission $206 2990%
Evry Health $234 3396%
Imagine Health $300 4354%
Healthsmart Preferred Care $369 - $729 5356%
Averde Health $386 5602%
Fidelis Securecare Of Tx $386 5602%
Coventry National First Health $457 6633%
Physicians Cooperative Of Texas $472 6851%
Rockport Workers Comp $472 6851%
Independent Medical System $515 7475%
National Healthcare Solutions $515 7475%
Southwest Medical $515 7475%
Coastal Comp $557 8084%
Multiplan $643 - $729 9332%
International Health Insurance $686 9956%
Physicians, Inc $729 10581%
Affiliated Ppo $772 11205%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7401 South Main Street, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals