CMS Price Transparency Data

Blood test, lipase

Facility: Texas Health Center for Diagnostics & Surgery Plan

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $139
  • Cash Discount Price: $149
  • vs. Medicare Baseline: 20.17x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Texas Health Center for Diagnostics & Surgery Plan is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 20.17x the Medicare baseline. Located in 6020 W Parker Road, Plano, TX.
Cash / Self-Pay
$149

Average discount available for prompt cash payment at this facility.

Insurance Median
$139

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: $149 (2163%)
Insurance Median: $139 (2017%)
Cash: $149 (2163% of Medicare)
Ins. Median: $139 (2017% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2017% of the Medicare baseline (a markup of 1917%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Amerigroup $6 - $7 87%
Blue Cross Blue Shield $6 - $40 87%
Molina $6 - $7 87%
Parkland $6 87%
Superior Wellcare $6 - $8 87%
UnitedHealthcare $6 - $8 87%
American Health $7 102%
Healthspring $7 102%
Humana $7 102%
Fort Worth Firefighters $14 - $163 203%
Aetna $23 - $188 334%
Cigna $28 - $252 406%
City Of Fort Worth $107 - $126 1553%
Quick Trip $137 - $169 1988%
Phcs $159 - $199 2308%
Healthsmart $171 - $225 2482%
Multiplan $199 - $233 2888%
Galaxy $201 - $235 2917%
Usa $201 - $235 2917%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6020 W Parker Road, Plano, TX 75093
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals