CMS Price Transparency Data

Blood test, lipase

Facility: Eastern Idaho Regional Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $138
  • Cash Discount Price: $328
  • vs. Medicare Baseline: 20.03x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Eastern Idaho Regional Medical Center is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $328. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 20.03x the Medicare baseline. Located in 3100 Channing Way, Idaho Falls, ID.
Cash / Self-Pay
$328

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $328 (4761%)
Insurance Median: $138 (2003%)
Cash: $328 (4761% of Medicare)
Ins. Median: $138 (2003% 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 2003% of the Medicare baseline (a markup of 1903%). 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
Blue Cross Blue Shield $6 - $311 87%
Molina $6 - $7 87%
Humana $7 - $275 102%
Prime Health $7 - $279 102%
Regence Blue Shield $7 102%
Rexburg Care And Rehab $7 102%
Triwest Healthcare Alliance $7 102%
United $7 - $190 102%
Veteran'S Administration $7 102%
Regence $11 160%
Select Health $99 1437%
Select Health Ichn Brightpath $99 - $111 1437%
Select Health Idaho (Eirmc Only) $105 1524%
Aetna $129 - $160 1872%
Doug Andrus Distributing $131 1901%
Pacificsource Health $138 - $176 2003%
University Of Utah $138 2003%
Mountain Health Co-Op $164 - $246 2380%
Cigna $180 2612%
First Choice Health Of Washington $197 2859%
Moda $204 2961%
Dmba $211 3062%
Geha Ppo Usa $262 3803%
Multiplan $275 - $295 3991%
First Choice Of The Midwest $295 4282%
Interwest Health $295 4282%
St. John'S Health Network $295 4282%
Coventry First Health $298 4325%
Shashone-Bannock Tribal Health $328 4761%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Channing Way, Idaho Falls, ID 83404
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals