CMS Price Transparency Data
Blood test, lipase
Facility: Boston Children's Hospital
Billing Code: 83690 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$20
about 2.9× the $7 Medicare rate · typically $10–$26
modeled estimate · not a bill or quote
Medicare pays $7 Fair price $20 Cash price $119 Hospital's list price $119
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 |
|---|---|---|
| UnitedHealthcaremajor | $71 - $101 | 1030% |
| Blue Cross Blue Shieldmajor | $25 - $79 | 363% |
| Aetnamajor | $71 - $100 | 1030% |
| Cignamajor | $101 - $107 | 1466% |
| Humanamajor | $107 | 1553% |
| Ambetter (Centene) | $75 | 1089% |
| CDPHP | $58 - $101 | 842% |
| Harvard Pilgrim | $60 - $80 | 871% |
| Tufts Health Plan | $73 | 1060% |
| UniCare | $27 | 392% |
| + 8 smaller / regional plans | $72 - $107 |
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Boston Children's Hospital
Compare: Blood test, lipase at other MA hospitals
- UMass Memorial Healthalliance Hospitals · Leominster $7
- UMass Memorial Health - Harrington Hospital · Southbridge $7
- Boston Medical Center · Boston $7
- Boston Medical Center-Brighton · Brighton $7
- Berkshire Medical Center · Pittsfield $7
- Southcoast Hospitals Group · Fall River $7
- Milford Regional Medical Center · Milford $7
- Good Samaritan Medical Center · Brockton $7
Insurance negotiated median for the same procedure, sorted lowest first.