CMS Price Transparency Data

Blood test, lipase

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $21
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.05x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Intermountain Health St Vincent Regional Hospital is $21. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 3.05x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$21

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%)
Insurance Median: $21 (305%)
Ins. Median: $21 (305% 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 305% of the Medicare baseline (a markup of 205%). 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
Medicare (plans) $7 102%
UnitedHealthcare $7 - $26 102%
Ebms-Employee Benefit Mng $12 - $25 174%
Sibanye Stillwater Health Partners $13 189%
Coastal Administrative Services $14 203%
First Choice Health $14 - $25 203%
Other $14 - $25 203%
Exchange Other $16 - $18 232%
Meritain Health $16 - $25 232%
Mt Health Co-Op $16 - $18 232%
Aetna $17 - $18 247%
Allegiance $17 - $25 247%
Pacific Steel And Recycling $17 247%
Pacificsource $17 - $25 247%
Cigna $18 - $25 261%
Blue Cross Blue Shield $19 - $55 276%
Preferred One $23 - $26 334%
Geha $24 - $26 348%
Interwest $24 - $25 348%
Private Hlthcare Sys $24 - $26 348%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1233 N 30Th St, Billings, MT 59107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals