CMS Price Transparency Data
Blood test, lipase
Facility: Harlem Hospital Center
Billing Code: 83690 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$29
about 4.1× the $7 Medicare rate · typically $8–$46
modeled estimate · not a bill or quote
Medicare pays $7 Fair price $29 Hospital's list price $24
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 - $49 | 145% |
| Blue Cross Blue Shieldmajor | $23 - $88 | 334% |
| Aetnamajor | $4 - $17 | 58% |
| Cignamajor | $17 | 247% |
| Fidelis Care | $7 - $88 | 102% |
| MagnaCare | $8 | 116% |
| Oscar Health | $10 | 145% |
| WellCare | $15 | 218% |
| + 13 smaller / regional plans | $5 - $88 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Harlem Hospital Center
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.