CMS Price Transparency Data

Blood test, lipase

Facility: Saint Alphonsus Medical Center - Nampa

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $96
  • Cash Discount Price: $77
  • vs. Medicare Baseline: 13.93x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Saint Alphonsus Medical Center - Nampa is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 13.93x the Medicare baseline. Located in 4300 E Flamingo Ave, Nampa, ID.
Cash / Self-Pay
$77

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

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: $77 (1118%)
Insurance Median: $96 (1393%)
Cash: $77 (1118% of Medicare)
Ins. Median: $96 (1393% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1393% of the Medicare baseline (a markup of 1293%). 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.

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
Ada County Jail Inmate Ins $6 87%
Centurion Of Idaho $6 87%
Id County Ada $6 87%
Id County Canyon $6 87%
Id County Cat Fund $6 87%
Id County Payette $6 87%
Idaho Dept Health And Wellfare $6 87%
Medicaid / KanCare $6 - $57 87%
Aetna $7 - $111 102%
American Health Advantage Of Idaho $7 102%
Medicare (plans) $7 102%
Moda Health $7 - $108 102%
UnitedHealthcare $7 - $114 102%
Blue Cross Blue Shield $8 - $38 116%
Blue Shield - Id (Regence) $8 - $10 116%
Asuris Northwest Health $10 145%
Blue Shield - Wa (Regence) $10 - $38 145%
Healthcare Management Admin $10 145%
Prime Healthcare $12 174%
Molina Marketplace $16 232%
Webtpa $18 - $114 261%
Selecthealth $26 - $114 377%
Cigna $27 392%
Priority Health $27 392%
Providence $27 - $114 392%
Bcn Domestic $38 552%
Blue Benefit Administrators Of Massachusetts $38 552%
Blue Care Network $38 552%
Blue Distinction Transplant $38 552%
Blue Shield - Ca $38 552%
Blue Shield - Ny Highmark Northeastern $38 552%
Blue Shield - Ny Highmark Western $38 552%
Blue Shield - Pa (Highmark) $38 552%
Health Choices $38 552%
Kaiser Domestic $38 552%
Pre-Employment $38 552%
Wc Domestic $38 552%
Trillium Community Ohp $49 - $57 711%
Mountain Health Co-Op $65 - $76 943%
Pacificsource Health Plans $65 - $93 943%
Columbia Health Network $80 - $93 1161%
Allegiance $81 - $94 1176%
First Health $93 - $108 1350%
Medi Share $93 - $108 1350%
Allied Benefit Systems $96 - $111 1393%
Ameriben $96 - $111 1393%
Asr Health Benefits $96 - $111 1393%
Boon Chapman $96 - $111 1393%
Christian Brother Services $96 - $111 1393%
Geha $96 - $114 1393%
Healthez $96 - $111 1393%
Humana $96 - $112 1393%
Luminare Health (Detroit) $96 - $111 1393%
Meritain $96 - $111 1393%
Rural Carrier Health Benefit Plan $96 - $111 1393%
Allied National Global Care $98 - $114 1422%
Asrm - Reliance Standard Life Insurance $98 - $114 1422%
Christian Care Ministry $98 - $114 1422%
Correctional Health Partners $98 - $114 1422%
Dean Health $98 - $114 1422%
Fallon Health $98 - $114 1422%
Family Life Insurance Company $98 - $114 1422%
First Choice Health $98 - $114 1422%
Ghc Scw $98 - $114 1422%
International Benefit Administrators $98 - $114 1422%
Lifetime Benefit Solutions $98 - $114 1422%
Manhattan Life $98 - $114 1422%
Pai $98 - $114 1422%
Pan-American Life $98 - $114 1422%
Paramount Hmo $98 - $114 1422%
Phcs $98 - $114 1422%
Trinity Health Share $98 - $114 1422%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4300 E Flamingo Ave, Nampa, ID 83687
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals