CMS Price Transparency Data

Blood test, lipase

Facility: Boston Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Boston Medical Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $27 (392%)
Insurance Median: $8 (116%)
Cash: $27 (392% of Medicare)
Ins. Median: $8 (116% 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.

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
Fallon Healthcre Aco [1121] $6 87%
Hlth New England Aco [1123] $6 87%
Mass General Brigham Health Plan Aco [1120] $6 87%
Mass General Brigham Health Plan Mcd Mnged [1107] $6 87%
Medicaid / KanCare $6 87%
Oxford Health [1007] $6 87%
Oxford Health [2024] $6 87%
Tufts Together Aco [1122] $6 87%
Tufts Together Mco [1125] $6 87%
United [2025] $6 - $19 87%
UnitedHealthcare $6 - $7 87%
Wellsense Alli Aco [1118] $6 87%
Wellsense Essential Mco [1101] $6 87%
Zzzunited [1008] $6 - $19 87%
Aetna $7 - $30 102%
Blue Cross Blue Shield $7 - $14 102%
Cca [1215] $7 102%
Corrections [9001] $7 - $9 102%
Eternalhealth [1227] $7 102%
Humana $7 102%
Medicare (plans) $7 102%
Neighborhood Pace [1206] $7 102%
Tufts [8002] $7 - $19 102%
Ubh Hphc [8016] $7 102%
Veterans Admin [9003] $7 102%
Wellcare [1240] $7 102%
Wellsense [7001] $7 102%
Zzzcca Onecare [1216] $7 102%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $7 102%
Champva [9004] $8 116%
Cigna $8 - $19 116%
Fallon Sco [1126] $8 116%
Senior Whole Health [1210] $8 116%
Tricare $8 116%
Tufts Conncare/Qhp [8020] $8 - $10 116%
Fallon [8008] $9 131%
Workers Comp [5002] $10 145%
Zzzbu Employee Work Comp [5004] $10 145%
Zzzcity Of Boston Work Comp [5003] $10 145%
Unicare [8004] $12 174%
Wellpoint [2034] $12 174%
Harvard Pilgrim Health Care [8001] $19 276%
Health Plans Inc [2027] $19 276%
Zzzhealth Plans Inc [1013] $19 276%
Uphams Corner Esp [1213] $24 348%
Meritain Health [1023] $26 - $27 377%
Mass General Brigham Health Plan Commercial [8009] $32 - $33 464%
Hsn Bad Debt [4003] $513 7446%
Hsn Confidential [4007] $513 7446%
Hsn Dental [4006] $513 7446%
Hsn Partial [4002] $513 7446%
Hsn [4001] $513 7446%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Boston Medical Center Place, Boston, MA 02118
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals