CMS Price Transparency Data
Blood test, lipase
Facility: Door County Medical Center
Billing Code: 83690 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$21
about 3.0× the $7 Medicare rate · typically $8–$49
modeled estimate · not a bill or quote
Medicare pays $7 Fair price $21 Cash price $119 Hospital's list price $159
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 - $127 | 102% |
| Blue Cross Blue Shieldmajor | $53 - $140 | 769% |
| Aetnamajor | $54 - $143 | 784% |
| Cignamajor | $135 | 1959% |
| Humanamajor | $53 - $156 | 769% |
| Dean Health Plan | $119 | 1727% |
| HealthPartners | $53 | 769% |
| Molina | $111 | 1611% |
| + 4 smaller / regional plans | $81 - $135 |
Government programs also on file: Medicare, Medicaid.
Self-Pay How to get the cash price
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Other Procedures at Door County Medical Center
Compare: Blood test, lipase at other WI hospitals
- Grant Regional Health Center · Lancaster $5
- Upland Hills Health · Dodgeville $6
- St Josephs Community Hospital West Bend · West Bend $7
- Fort Memorial Hospital · Fort Atkinson $7
- Marshfield Medical Center - Beaver Dam (Mmc-Bd) · Beaver Dam $7
- Gundersen Lutheran Medical Center · La Crosse $7
- Unitypoint Health - Meriter · Madison $7
- Sauk Prairie Hospital · Prairie Du Sac $7
Insurance negotiated median for the same procedure, sorted lowest first.