CMS Price Transparency Data

Blood test, lipase

Facility: Medical City Green Oaks Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $13
  • Cash Discount Price: $183
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Medical City Green Oaks Hospital is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $183. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.89x the Medicare baseline. Located in 7808 Clodus Fields Drive, Dallas, TX.
Cash / Self-Pay
$183

Average discount available for prompt cash payment at this facility.

Insurance Median
$13

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: $183 (2656%)
Insurance Median: $13 (189%)
Cash: $183 (2656% of Medicare)
Ins. Median: $13 (189% 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
American Health Plan Of Texas, Inc. $7 102%
Care N Care $7 102%
Devoted Health $7 102%
Humana $7 - $119 102%
Integranet $7 102%
Mutual Of Omaha $7 102%
Procare Advantge $7 102%
Provider Partners Health Plan $7 102%
Texas Independent Health Plan $7 102%
Triwest Veterans $7 102%
Wellcare $7 102%
Cenpatico $8 116%
Imperial Insurance Company $8 116%
Molina $8 116%
Triwest Health Alliance $8 116%
Verda Health Plan $9 131%
Superior $12 - $15 174%
Superior Health Plan $13 189%
Molina Healthcare $18 261%
Healthcare Highways $45 - $62 653%
Evry Health $47 682%
City Of Mckinney $82 1190%
Pc Texas Partners $101 1466%
Physicians Coop Of Tx $101 1466%
Averde Health, Inc $106 1538%
Aetna $110 - $129 1597%
Magellan Bh $110 1597%
Value Options Behavioral Health $110 1597%
Usa Managed Care $119 1727%
Coastal Comp Health Networks $128 1858%
Cigna $146 2119%
Compsych Corporation $146 2119%
Galaxy Health Network $156 2264%
Three Rivers Provider Network $165 2395%
Independent Medical Systems $183 2656%
National Healthcare Solutions $183 2656%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7808 Clodus Fields Drive, Dallas, TX 75251
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Psychiatric