CMS Price Transparency Data

Blood test, lipase

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 83690 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$22
about 3.1× the $7 Medicare rate · typically $7–$35
modeled estimate · not a bill or quote
Medicare pays $7 Fair price $22 Cash price $199 Hospital's list price $199

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.

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

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser 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 $28 406%
Aetnamajor $35 - $74 508%
Cignamajor $24 348%
Fidelis Care $20 - $24 290%
MagnaCare $127 - $159 1843%
+ 7 smaller / regional plans $9 - $155
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1275 York Ave, New York, NY 10065
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL