CMS Price Transparency Data
Blood test, lipase
Facility: Lexington Medical Center
Billing Code: 83690 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$16
about 2.3× the $7 Medicare rate · typically $8–$23
modeled estimate · not a bill or quote
Medicare pays $7 Fair price $16 Cash price $188 Hospital's list price $188
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 | $14 - $17 | 203% |
| Blue Cross Blue Shieldmajor | $7 - $89 | 102% |
| Aetnamajor | $7 | 102% |
| Cignamajor | $36 | 522% |
| Humanamajor | $7 | 102% |
| Ambetter (Centene) | $12 | 174% |
| Molina | $8 - $24 | 116% |
| + 2 smaller / regional plans | $7 - $81 |
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Other Procedures at Lexington Medical Center
Compare: Blood test, lipase at other SC hospitals
- Prisma Health Oconee Memorial Hospital · Seneca $7
- Colleton Medical Center · Walterboro $7
- Prisma Health Hillcrest Hospital · Simpsonville $7
- Prisma Health Laurens County Hospital · Clinton $7
- Conway Medical Center · Conway $7
- Prisma Health Tuomey Hospital · Sumter $7
- Hampton Regional Medical Center · Varnville $7
- Prisma Health Greenville Memorial Hospital · Greenville $7
Insurance negotiated median for the same procedure, sorted lowest first.