CMS Price Transparency Data

Blood test, lipase

Facility: Holy Cross Hospital - Salt Lake

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $90
Cash Discount Price: $76
vs. Medicare Baseline: 13.06x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Holy Cross Hospital - Salt Lake is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $76. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 13.06x the Medicare baseline. Located in 1050 East South Temple, Salt Lake City, UT.

Cash / Self-Pay

$76

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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: $76 (1103%)

Insurance Median: $90 (1306%)

Cash: $76 (1103% of Medicare)

Ins. Median: $90 (1306% 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 1306% of the Medicare baseline (a markup of 1206%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$5 - $114	73%
Cigna	$6 - $152	87%
Denver Health	$6	87%
Health Choice	$6	87%
Medicaid / KanCare	$6	87%
Rocky Mountain Health Plan	$6	87%
Uuhp	$6 - $16	87%
Humana	$7	102%
Medicare (plans)	$7	102%
Employer Direct Healthcare	$8	116%
Centura Employee Plan	$9	131%
Motivhealth	$9	131%
UnitedHealthcare	$9	131%
Molina	$14 - $82	203%
Pehp	$81 - $191	1176%
Aetna	$84 - $161	1219%
Wise	$99 - $101	1437%
Deseret Mutual Benefit Administrators	$117	1698%
Select Health	$126	1829%
Multiplan	$132 - $173	1916%
Emi Health	$191	2772%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $76.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holy Cross Hospital - Salt Lake is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.