CMS Price Transparency Data

Blood test, lipase

Facility: Punxsutawney Area Hospital

Billing Code: 83690 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$8
about 1.1× the $7 Medicare rate · typically $7–$9
modeled estimate · not a bill or quote
What this hospital charges insurers
$7
Below the fair price — a good deal
about $1 under the fair price · 1.0× Medicare
Medicare pays $7 Fair price $8 This hospital $7 Cash price $20 Hospital's list price $52

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 0 charge more and 5 charge less, among the 9 PA hospitals compared.

Cheapest $5 Priciest $7

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Blood test, lipase is about $8 (about 1.1× the $7 Medicare rate). Punxsutawney Area Hospital charges insurers about $7, or about $20 in cash — below the fair price — a good deal. Located in Punxsutawney, PA.

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 $3 - $24 44%
Blue Cross Blue Shieldmajor $4 - $18 58%
Aetnamajor $7 - $15 102%
Cignamajor $3 - $36 44%
Humanamajor $7 102%
Ambetter (Centene) $7 102%
AmeriHealth $5 - $7 73%
Geisinger $7 - $19 102%
UPMC Health Plan $6 - $39 87%
+ 1 smaller / regional plan $9 - $14
Government programs also on file: Military & VA.
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: 81 Hillcrest Drive, Punxsutawney, PA 15767
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals