CMS Price Transparency Data

Blood test, lipase

Facility: Pender Memorial Hospital

Billing Code: 83690 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$84
about 12.0× the $7 Medicare rate · typically $13–$98
modeled estimate · not a bill or quote
Medicare pays $7 Fair price $84 Cash price $111 Hospital's list price $247

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.

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 $87 - $274 1263%
Blue Cross Blue Shieldmajor $32 - $270 464%
Aetnamajor $33 - $319 479%
Cignamajor $33 - $165 479%
Humanamajor $31 - $322 450%
Ambetter (Centene) $45 - $142 653%
AmeriHealth $34 - $107 493%
CareSource $48 - $150 697%
WellCare $34 - $107 493%
+ 7 smaller / regional plans $32 - $364
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: 507 E Fremont St, Burgaw, NC 28425
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals