CMS Price Transparency Data

Blood test, lipase

Facility: Uva Health Haymarket Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $8
Cash Discount Price: $98
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Uva Health Haymarket Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 15225 Healthcote Boulevard, Haymarket, VA.

Cash / Self-Pay

$98

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $98 (1422%)

Insurance Median: $8 (116%)

Cash: $98 (1422% of Medicare)

Ins. Median: $8 (116% 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
UnitedHealthcare	$6 - $9	87%
Aetna	$7 - $93	102%
Blue Cross Blue Shield	$7 - $9	102%
Champva [50002]	$7	102%
Cigna	$7 - $157	102%
Humana	$7	102%
Medicare (plans)	$7	102%
Sentara Behavioral Health [40052]	$7	102%
Sentara [40021]	$7	102%
Tricare	$7	102%
VA Ccn [99926]	$7	102%
VA Ccn [99927]	$7	102%
Veterans Administration [99910]	$7	102%
Geha [40009]	$9	131%
Carefirst [30007]	$29 - $32	421%
Multiplan Generic [40035]	$149	2163%
Vhn Generic [40040]	$149	2163%
Kaiser Permenente [40014]	$176	2554%

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 $98.
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 Uva Health Haymarket Medical Center 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.