CMS Price Transparency Data
Blood test, lipase
Facility: Samaritan Hospital of Troy, New York
Billing Code: 83690 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$12
about 1.7× the $7 Medicare rate · typically $7–$22
modeled estimate · not a bill or quote
Medicare pays $7 Fair price $12 Cash price $59 Hospital's list price $91
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 | $7 - $91 | 102% |
| Blue Cross Blue Shieldmajor | $6 - $32 | 87% |
| Aetnamajor | $7 - $22 | 102% |
| Cignamajor | $41 | 595% |
| Fidelis Care | $12 | 174% |
| GEHA | $22 | 319% |
| Harvard Pilgrim | $17 | 247% |
| HealthPartners | $41 | 595% |
| Independent Health | $77 | 1118% |
| MagnaCare | $77 | 1118% |
| Medical Mutual | $22 | 319% |
| MVP Health Care | $7 | 102% |
| Priority Health | $41 | 595% |
| Tufts Health Plan | $41 | 595% |
| UniCare | $18 | 261% |
| + 22 smaller / regional plans | $6 - $91 |
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Samaritan Hospital of Troy, New York
Compare: Blood test, lipase at other NY hospitals
- Elizabethtown Community Hospital · Elizabethtown $5
- Nassau University Medical Center · East Meadow $6
- F F Thompson Hospital · Canandaigua $6
- Montefiore Mount Vernon Hospital · Mount Vernon $6
- Bertrand Chaffee Hospital · Springville $6
- Long Island Community Hospital · Patchogue $6
- St James Hospital · Hornell $6
- Montefiore New Rochelle Hospital · New Rochelle $6
Insurance negotiated median for the same procedure, sorted lowest first.