Blood test, lipase
Facility: Greeley County Health Services
Billing Code: 83690 (CPT)
- CPT Billing Code: 83690
- Insurance Median: $7
- Cash Discount Price: $43
- 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 |
|---|---|---|
| Medicaid / KanCare | $7 | 102% |
| Aetna | $7 | 102% |
Consumer Guidance & Cost Commentary
For this blood test procedure at Greeley County Health Services, the cash median price is $43.00, which is notably lower than the facility's gross charge of $62.00. While the facility is a Critical Access Hospital in Tribune, KS, and is owned by the local government, the data does not provide specific county or state average rates for comparison. However, the negotiated rate for in-network payers like Aetna and Medicaid/KanCare is $7.00, which is significantly lower than the cash price. This suggests that for patients with active insurance coverage, the negotiated rate is likely the most cost-effective option, as it bypasses the higher administrative costs associated with cash payments.
Patients should be aware that while cash-pay options can sometimes be cheaper for those with high-deductible plans, the data indicates the insurance negotiated rate is already quite low. If you have a high-deductible plan and have not yet met your deductible, you may still face the $7.00 negotiated rate rather than the cash price. It is important to verify your specific plan's allowed amount before scheduling, as assuming that being in-network guarantees the lowest possible price can be misleading. Additionally, if you choose to pay out-of-pocket, you should ask the billing department about any "prompt-pay" discounts that could further reduce the $43.00 cash median before finalizing your payment.