CMS Price Transparency Data

Blood test, lipase

Facility: St Luke's Hospital at the Vintage

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $13
Cash Discount Price: $161
vs. Medicare Baseline: 1.89x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at St Luke's Hospital at the Vintage is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $161. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.89x the Medicare baseline. Located in 20171 Chasewood Park Drive, Houston, TX.

Cash / Self-Pay

$161

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: $161 (2337%)

Insurance Median: $13 (189%)

Cash: $161 (2337% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Renaissance	$5	73%
Blue Cross Blue Shield	$6 - $35	87%
Tchp	$6 - $8	87%
United	$6 - $216	87%
UnitedHealthcare	$6 - $379	87%
Wellpoint	$6 - $10	87%
Aetna	$7 - $312	102%
Amerivantage	$7	102%
Chc	$7 - $252	102%
Cigna	$7 - $321	102%
Devoted	$7	102%
Humana	$7 - $298	102%
Kelsey	$7	102%
Scanhealth	$7	102%
Selectcare	$7	102%
Kindred	$8	116%
Kelseycare	$9	131%
Community Health Choice	$10	145%
Employer Direct	$10	145%
Superior Health Plan	$10	145%
Bright Health	$11	160%
Nx Health	$22	319%
Tchpchip	$161 - $197	2337%
Texastruechoice	$252	3657%
Coventry	$298	4325%
First Health	$298	4325%
Healthsmart	$321	4659%
Interlink	$321	4659%
Multiplan	$344	4993%
USA Health Network	$390	5660%
Mhealth Network	$459	6662%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $161.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Luke's Hospital at the Vintage is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.