CMS Price Transparency Data

Blood test, lipase

Facility: Holy Cross Hospital-Davis

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $97
  • Cash Discount Price: $76
  • vs. Medicare Baseline: 14.08x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Holy Cross Hospital-Davis is $97. 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 14.08x the Medicare baseline. Located in 1600 West Antelope Drive, Layton, UT.
Cash / Self-Pay
$76

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $97 (1408%)
Cash: $76 (1103% of Medicare)
Ins. Median: $97 (1408% 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 1408% of the Medicare baseline (a markup of 1308%). 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 $5 - $114 73%
Cigna $6 - $152 87%
Medicaid / KanCare $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%
Select Health $12 - $94 174%
Molina $14 - $82 203%
Pehp $81 - $111 1176%
Aetna $84 - $161 1219%
Wise $99 - $101 1437%
Deseret Mutual Benefit Administrators $117 1698%
Multiplan $132 - $173 1916%
UnitedHealthcare $138 - $191 2003%
Emi Health $166 2409%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 West Antelope Drive, Layton, UT 84041
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals