CMS Price Transparency Data

Blood test, lipase

Facility: Pomona Valley Hospital Medical Center

Billing Code: 83690 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$11
about 1.6× the $7 Medicare rate · typically $7–$56
modeled estimate · not a bill or quote
Medicare pays $7 Fair price $11 Cash price $27

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $56 - $104 813%
Aetnamajor $70 1016%
Cignamajor $20 290%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1798 N Garey Ave, Pomona, CA 91767
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals