CMS Price Transparency Data

Blood test, lipase

Facility: Intermountain Health Sevier Valley Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $51
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 7.40x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Intermountain Health Sevier Valley Hospital is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 7.40x the Medicare baseline. Located in 1000 North Main Street, Richfield, UT.
Cash / Self-Pay
$40

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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: $40 (581%)
Insurance Median: $51 (740%)
Cash: $40 (581% of Medicare)
Ins. Median: $51 (740% 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 740% of the Medicare baseline (a markup of 640%). 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
Health Plan Of Nevada $6 - $48 87%
Healthy U $6 - $48 87%
Molina $6 - $51 87%
Selecthealth $6 - $51 87%
Triwest $6 87%
Aetna $7 - $52 102%
American Health $7 102%
Health Partners Of Nevada $7 102%
Humana $7 - $51 102%
UnitedHealthcare $7 - $51 102%
Injury Care Of Nevada $40 581%
Byu Risk Management $46 668%
Corporation Of The President $46 668%
Corvel Corporation $46 668%
Wcf Insurance $46 668%
Awh Connected $51 - $52 740%
Blue Cross Blue Shield $51 740%
Byu Athletics $51 740%
Campbell Scientific $51 740%
Cigna $51 740%
Deseret Mutual $51 740%
Emi $51 740%
Emi Health $51 740%
Franklin County $51 740%
Global Excel $51 740%
Health Utah $51 740%
Hygeia Corporation $51 740%
Ifit $51 740%
Juniper Systems $51 740%
Lw Miller $51 740%
Managed Care Admin $51 740%
Medcare International $51 740%
Motivhealth $51 740%
Pehp $51 740%
Prodegi Corp Benefit $51 740%
Springtide $51 740%
Tanner Llc $51 740%
Uofu $51 740%
Utah Tech $51 740%
Wise Network $51 740%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 North Main Street, Richfield, UT 84701
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals