Blood test, lipase
Facility: Oakleaf Surgical Hospital
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $7
- Cash Discount Price: $53
- vs. Medicare Baseline: 1.02x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $7 | 102% |
| Dean Health Plan | $7 | 102% |
| Group Health Cooperative Of Eau Claire | $7 | 102% |
| Healthpartners | $7 | 102% |
| Humana | $7 | 102% |
| Medica | $7 | 102% |
| Quartz Health Solutions | $7 | 102% |
| Security Health Plan Of Wi | $7 | 102% |
| Ucare Wi | $7 | 102% |
| UnitedHealthcare | $7 | 102% |
Consumer Guidance & Cost Commentary
Oakleaf Surgical Hospital in Altoona, Wisconsin, charges a cash median of $53 for CPT code 83690, a blood test for lipase. This price is significantly lower than the facility's gross charge of $59 and aligns with the state average of $53. The data indicates that while the negotiated rate across all ten payers is $7, the cash price is notably higher than the commercial negotiated amount, suggesting that for patients with high-deductible plans where the insurance allowed amount might exceed the cash price, paying out-of-pocket could result in a lower total cost.
The facility is owned by physicians and serves as an acute care hospital with a vintage of 2026-06. While the facility rating and specific state or county average comparisons are not provided in the current dataset, patients are advised to verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these can further reduce the final bill. It is important to note that commercial negotiated rates often include administrative overhead and do not represent the lowest possible price, making it essential to confirm the exact billing structure with the hospital to avoid unexpected charges.