CMS Price Transparency Data

Blood test, lipase

Facility: Methodist Midlothian Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $9
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Methodist Midlothian Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 1201 E Highway 287, Midlothian, TX.
Cash / Self-Pay
$84

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: $84 (1219%)
Insurance Median: $9 (131%)
Cash: $84 (1219% 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
Medicaid / KanCare $6 - $24 87%
UnitedHealthcare $6 - $7 87%
Aetna $7 - $11 102%
American Health Advantage Of Texas [7099] $7 102%
Blue Cross Blue Shield $7 102%
Cigna $7 - $13 102%
Covid19 Hrsa Uninsured Testing And Treatment Fund [6005] $7 102%
Globalhealth [1003] $7 102%
Humana $7 102%
Medicare (plans) $7 102%
Procare Advantage [7018] $7 102%
Provider Partners Health Plan [7025] $7 102%
Southwestern Health Resources Swhr [7015] $7 102%
Ust Health Proof [1005] $7 102%
Wellcare [7016] $7 102%
Alternative Service Concepts [8005] $9 131%
Oscar Insurance Company [2057] $9 131%
Bright Healthcare [2222] $10 145%
Molina [3017] $10 145%
90 Degree Benefit [3057] $11 160%
Allied National [2031] $11 160%
Entrust/90 Degree [2058] $11 160%
Kempton Group Administrators, Tower Extrusions [3061] $11 160%
Wellpoint Marketplace Exchange [3071] $11 160%
Ambetter / Centene $12 174%
Friday Health Plan [2061] $12 174%
Imperial Insurance Companies [3073] $12 174%
Web Tpa [3049] $13 189%
Department Of Labor [8004] $14 203%
Evry Health [1013] $14 203%
Generic Workers Comp Tx Non Par [9010] $14 203%
Generic Workers Comp Tx Par [8002] $14 203%
Generic Workers Comp Tx Par [9011] $14 203%
Sana Benefits [3069] $14 203%
Tristar Risk Management [8006] $14 203%
Velocity [3070] $14 203%
Health Plans Inc [5017] $17 247%
Medical Cost Containment Professionals [3059] $17 247%
Dart Member Care [3039] $19 276%
Healthscope Benefits [2052] $19 276%
Healthscope Benefits [3063] $19 276%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1201 E Highway 287, Midlothian, TX 76065
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals