CMS Price Transparency Data

Blood test, lipase

Facility: Alice Peck Day Memorial Hospital

Billing Code: 83690 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$19
about 2.7× the $7 Medicare rate · typically $10–$38
modeled estimate · not a bill or quote
Medicare pays $7 Fair price $19 Cash price $74 Hospital's list price $137

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 $99 1437%
Blue Cross Blue Shieldmajor $26 - $122 377%
Aetnamajor $123 - $130 1785%
Cignamajor $105 - $112 1524%
Humanamajor $142 2061%
Ambetter (Centene) $6 87%
AmeriHealth $6 87%
Harvard Pilgrim $85 - $119 1234%
MVP Health Care $125 1814%
Tufts Health Plan $100 1451%
+ 4 smaller / regional plans $6 - $106
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

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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: 10 Alice Peck Day Drive, Lebanon, NH 03766
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals