CMS Price Transparency Data

Blood test, lipase

Facility: Bayhealth Hospital, Sussex Campus

Billing Code: 83690 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$17
about 2.4× the $7 Medicare rate · typically $10–$20
modeled estimate · not a bill or quote
What this hospital charges insurers
$10
Below the fair price — a good deal
about $7 under the fair price · 1.4× Medicare
Medicare pays $7 Fair price $17 This hospital $10 Cash price $172 Hospital's list price $205

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

A typical price — 1 charge more and 3 charge less, among the 6 DE hospitals compared.

Cheapest $7 Priciest $12

Black dot = this hospital, among the 6 DE hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Blood test, lipase is about $17 (about 2.4× the $7 Medicare rate). Bayhealth Hospital, Sussex Campus charges insurers about $10, or about $172 in cash — below the fair price — a good deal. Located in Milford, DE.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 $29 - $32 421%
Ambetter (Centene) $10 145%
AmeriHealth $7 102%

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: 100 Wellness Way, Milford, DE 19963
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals