CMS Price Transparency Data
Blood test, lipase
Facility: Gifford Medical Center
Billing Code: 83690 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$33
about 4.7× the $7 Medicare rate · typically $10–$34
modeled estimate · not a bill or quote
Medicare pays $7 Fair price $33 Cash price $41 Hospital's list price $83
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 - $79 | 102% |
| Blue Cross Blue Shieldmajor | $34 - $71 | 493% |
| Aetnamajor | $79 | 1147% |
| Cignamajor | $66 | 958% |
| Harvard Pilgrim | $66 | 958% |
| MVP Health Care | $37 - $71 | 537% |
| + 1 smaller / regional plan | $37 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Gifford Medical Center
Compare: Blood test, lipase at other VT hospitals
- Central Vermont Medical Center · Barre $7
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $7
- Brattleboro Memorial Hospital · Brattleboro $7
- Southwestern Vermont Medical Center · Bennington $7
Insurance negotiated median for the same procedure, sorted lowest first.