CMS Price Transparency Data

Blood test, lipase

Facility: Stillwater Billings Clinic

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $34
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 4.93x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Stillwater Billings Clinic is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 4.93x the Medicare baseline. Located in 710 N 11Th St, Columbus, MT.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$34

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: $73 (1060%)
Insurance Median: $34 (493%)
Cash: $73 (1060% of Medicare)
Ins. Median: $34 (493% 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 493% of the Medicare baseline (a markup of 393%). 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 $14 - $105 203%
Humana $24 - $76 348%
Pacific Source Mcr Advantage $24 - $75 348%
Pacific Steel Direct - All Plans $24 - $78 348%
Tricare $24 - $75 348%
Pacific Source Billings Clinic $26 - $83 377%
Allied Core Value $30 - $97 435%
Mountain Health Coop - All Plans $32 - $102 464%
Rci Wyoben $32 - $100 464%
Wyo-Ben Inc- All Plans $32 - $100 464%
All Savers-All Plans $33 - $105 479%
Allegiance Direct Ppo - All Other Plans $33 - $105 479%
Blackhawk - All Plans $33 - $105 479%
Cigna $33 - $105 479%
Ebms Interwest $33 - $105 479%
Ebms Town Pump $33 - $105 479%
Gpa Interwest- All Plans $33 - $105 479%
Interwest Health-All Plans $33 - $105 479%
Mtada- All Plans $33 - $105 479%
Pacific Source Voyager - All Other Plans $33 - $105 479%
Pacificsource Nav $33 - $105 479%
Prodegi (Y-Tex Corp)- All Plans $33 - $105 479%
Rci Interwest $33 - $105 479%
Town Pump Inc- All Plans $33 - $105 479%
UnitedHealthcare $33 - $105 479%
Aetna $34 - $108 493%
Boon Chapman First Choice Health $34 - $108 493%
Ebms First Choice Health $34 - $108 493%
First Choice- All Plans $34 - $108 493%
Murdoch Oil - All Plans $34 - $108 493%
Rci First Choice Health - All Other Plans $34 - $108 493%
Ryegate Public Schools - All Plans $34 - $108 493%
Savatree - All Plans $34 - $108 493%
Tabs - All Plans $34 - $108 493%
Trustmark First Choice Health $34 - $108 493%
Zenith First Choice Health- All Plans $34 - $108 493%
Allegiance State Of Mt $49 - $155 711%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N 11Th St, Columbus, MT 59019
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals