CMS Price Transparency Data

Blood test, lipase

Facility: The Shriners' Hospital for Children - Boston

Billing Code: 83690 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$11
about 1.6× the $7 Medicare rate · typically $9–$15
modeled estimate · not a bill or quote
What this hospital charges insurers
$10
About the fair price
about $1 under the fair price · 1.4× Medicare
Medicare pays $7 Fair price $11 This hospital $10 Cash price $67 Hospital's list price $67

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $7 Priciest $10

Black dot = this hospital, among the 9 MA 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 $11 (about 1.6× the $7 Medicare rate). The Shriners' Hospital for Children - Boston charges insurers about $10, or about $67 in cash — about the fair price. Located in Boston, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $10 145%
Blue Cross Blue Shieldmajor $25 363%
Aetnamajor $7 102%
Cignamajor $7 102%
Ambetter (Centene) $6 - $13 87%
AmeriHealth $13 189%
Harvard Pilgrim $9 131%
Providence Health Plan $10 145%
Tufts Health Plan $817 11858%
+ 3 smaller / regional plans $6 - $10

Self-Pay How to get the cash price

Insurance Before you use insurance

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

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Facility Profile & Credentials

  • Address: 51 Blossom Street, Boston, MA 02114
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Childrens