CMS Price Transparency Data

Blood test, lipase

Facility: Thedacare Medical Center - Berlin Inc

Billing Code: 83690 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$20
about 2.9× the $7 Medicare rate · typically $8–$51
modeled estimate · not a bill or quote
Medicare pays $7 Fair price $20 Cash price $35 Hospital's list price $63

How we calculate the fair BaseRate →

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 $7 - $44 102%
Blue Cross Blue Shieldmajor $17 - $37 247%
Aetnamajor $17 - $56 247%
Cignamajor $52 755%
Humanamajor $62 900%
HealthPartners $17 247%
Quartz $19 - $41 276%
+ 2 smaller / regional plans $42 - $51
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 225 Memorial Drive, Berlin, WI 54923
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals