CMS Price Transparency Data

Blood test, lipase

Facility: Mary Bridge Children's Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $9
Cash Discount Price: $25
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Mary Bridge Children's Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.31x the Medicare baseline. Located in 317 Martin Luther King Jr W Box 5299, Tacoma, WA.

Cash / Self-Pay

$25

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: $25 (363%)

Insurance Median: $9 (131%)

Cash: $25 (363% 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.

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
Molina	$3 - $12	44%
Wellpoint	$3	44%
Community Health Plan Of Washington	$4 - $11	58%
Coordinated Care	$4	58%
UnitedHealthcare	$4 - $8	58%
Aetna	$7 - $53	102%
Premera	$7 - $9	102%
Regence	$7 - $9	102%
Wellcare	$7	102%
Kaiser	$9	131%
Uniform Medical	$9	131%
Ambetter / Centene	$12	174%
Pacificsource	$15 - $22	218%
First Choice	$36 - $53	522%
First Health	$44 - $55	639%
Multiplan/Phcs	$44 - $55	639%
Cigna	$45 - $58	653%

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 $25.
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 Mary Bridge Children's Hospital 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.