CMS Price Transparency Data

Blood test, lipase

Facility: Intermountain Health Garfield Memorial 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 Garfield Memorial 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 200 North 400 East, Panguitch, 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.

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
Health Choice Utah	$7 - $48	102%
Healthy U	$7 - $48	102%
Medicare (plans)	$7 - $20	102%
Molina	$7 - $51	102%
Molina Healthcare Of Utah	$7 - $51	102%
Selecthealth	$7 - $51	102%
Uofu	$7 - $51	102%
Aetna	$8 - $52	116%
Tricare	$23 - $28	334%
Triwest	$23 - $28	334%
UnitedHealthcare	$44 - $45	639%
Blue Cross Blue Shield	$51	740%
Byu Athletic Department	$51	740%
Campbell Scientific	$51	740%
Cigna	$51	740%
Deseret Mutual	$51	740%
Emi Health	$51	740%
Franklin County	$51	740%
Health Utah	$51	740%
Hygeia Corporation	$51	740%
Juniper Systems	$51	740%
Lw Miller	$51	740%
Managed Care Administrators, Inc.	$51	740%
Medcare International	$51	740%
Motivhealth	$51	740%
Pehp	$51	740%
Prodegi Corporate Benefit Services, Llc	$51	740%
Springtide	$51	740%
Tanner Llc	$51	740%
Utah State University	$51	740%
Utah Tech University	$51	740%
Wise	$51	740%

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 $40.
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 Intermountain Health Garfield Memorial Hospital 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.