Blood test, lipase
Facility: Salina Regional Health Center
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $104
- Cash Discount Price: $81
- vs. Medicare Baseline: 15.09x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1509% of the Medicare baseline (a markup of 1409%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $17 - $18 | 247% |
| Preferred Phsic | $70 | 1016% |
| Preferred Healthcare - All Other Plans | $94 | 1364% |
| Aetna | $104 | 1509% |
| Cigna | $104 | 1509% |
| Multiplan (Mpi)-All Plans | $104 | 1509% |
| Providers Care (Wppa)-All Plans | $104 | 1509% |
Consumer Guidance & Cost Commentary
For the CPT code 83690, representing a blood test for lipase at Salina Regional Health Center in Salina, Kansas, the facility's cash median price is $81.00, which is lower than the state average of $94.00. While the facility's median negotiated rate across its seven payer contracts is $104.00, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds $81.00. It is important to note that commercial rates often include administrative overhead and contract markups, whereas cash prices reflect the direct cost of the service without insurance processing fees.
The facility's cash price of $81.00 is also significantly lower than the Medicare benchmark of $6.89 when adjusted for the facility's specific cost structure, highlighting the importance of comparing rates against federal baselines rather than gross chargemaster lists. To ensure you are receiving the best possible rate, we recommend requesting an itemized billing audit before payment to verify that no unbundled codes or services not rendered have inflated your total. Additionally, ask the billing department about prompt-pay discounts, which can reduce the final amount by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims.