Lipase test is a laboratory test. Prices are from 2297 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $68 — about 9.8× the Medicare rate ($7). High vs Medicare. A fair cash price is usually within ~2× Medicare ($14).
💡 Asking for the cash price instead of the $111 list price could save about $44 (39%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Ochsner Medical Center Acute | New Orleans, LA | $10 | $10 | ★ 4/5 | 174 min | — |
| Surgical Institute of Reading | Wyomissing, PA | $10 | $59 | — | — | — |
| Ochsner LSU Health Shreveport | Shreveport, LA | $10 | $7 | ★ 2/5 | 247 min | — |
| Community Memorial Hospital-Ojai | Ojai, CA | $10 | $10 | — | 114 min | — |
| West Calcasieu Cameron Hospital | Sulphur, LA | $11 | $7 | ★ 4/5 | 123 min | — |
| Penn State Health Holy Spirit Medical Center | Camp Hill, PA | $11 | $7 | ★ 3/5 | 252 min | — |
| Ochsner Medical Center-Hancock | Bay Saint Louis, MS | $11 | $7 | ★ 3/5 | 147 min | — |
| Mercy Hospital of Buffalo | Buffalo, NY | $11 | $7 | ★ 2/5 | 307 min | — |
| Banner-University Medical Center South Campus | Tucson, AZ | $11 | $9 | ★ 4/5 | 260 min | — |
| Hurley Medical Center | Flint, MI | $11 | $8 | ★ 2/5 | 190 min | — |
| Dunes Surgical Hospital | Dakota Dunes, SD | $11 | $15 | — | — | — |
| Buena Vista Regional Medical Center | Storm Lake, IA | $11 | $13 | ★ 2/5 | 152 min | — |
| Sequoia Hospital | Redwood City, CA | $11 | $8 | ★ 5/5 | 132 min | — |
| Banner-University Medical Center Tucson Campus | Tucson, AZ | $11 | $8 | ★ 3/5 | 311 min | — |
| St Joseph Hospital | Bangor, ME | $12 | $8 | ★ 3/5 | 186 min | — |
| Penn State Health St. Joseph | Reading, PA | $12 | $8 | ★ 3/5 | 232 min | — |
| Hancock County Hospital | Sneedville, TN | $12 | $36 | — | 104 min | — |
| Dickenson Community Hospital | Clintwood, VA | $12 | $15 | — | 109 min | — |
| Lee County Community Hospital | Pennington Gap, VA | $12 | $11 | — | 109 min | — |
| Page Hospital | Page, AZ | $12 | $28 | — | 78 min | — |
| Heritage Valley Beaver | Beaver, PA | $12 | $7 | ★ 3/5 | 185 min | — |
| Heritage Valley Sewickley | Sewickley, PA | $12 | $7 | ★ 4/5 | 135 min | — |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $12 | $10 | ★ 2/5 | 174 min | — |
| UCI Health-Orange | Orange, CA | $12 | $9 | ★ 4/5 | 318 min | — |
| UCI Health-Los Alamitos | Los Alamitos, CA | $12 | $9 | ★ 1/5 | 238 min | — |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
What insurers pay for Lipase test
Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $68; Medicare pays $7.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Amerigroup | 181 |
$3 – $23 |
| Tricare / VA | 460 |
$7 – $68 |
| Medicare | 603 |
$7 – $48 |
| Medicaid | 379 |
$4 – $52 |
| Independent Health | 51 |
$6 – $7 |
| UnitedHealthcare | 1624 |
$6 – $103 |
| Univera | 16 |
$6 – $10 |
| Devoted Health | 259 |
$7 – $8 |
| Geisinger | 70 |
$6 – $55 |
| Highmark | 130 |
$5 – $32 |
| Molina Healthcare | 601 |
$6 – $54 |
| AmeriHealth | 257 |
$6 – $54 |
| UPMC Health Plan | 104 |
$6 – $44 |
| Bright Health | 66 |
$7 – $15 |
| MVP Health Care | 83 |
$6 – $56 |
| Centene / Ambetter | 872 |
$6 – $74 |
| Kaiser Permanente | 232 |
$6 – $146 |
| Anthem | 640 |
$6 – $71 |
| Humana | 1130 |
$7 – $98 |
| Oscar Health | 234 |
$7 – $55 |
| Health Net | 321 |
$7 – $271 |
| SelectHealth | 48 |
$7 – $101 |
| Blue Cross Blue Shield | 1383 |
$7 – $141 |
| UCare | 66 |
$7 – $81 |
| EmblemHealth | 75 |
$6 – $59 |
| Priority Health | 59 |
$5 – $69 |
| Aetna | 1507 |
$7 – $153 |
| Harvard Pilgrim | 58 |
$7 – $71 |
| Cigna | 1267 |
$7 – $155 |
| Workers' Comp / No-Fault | 157 |
$9 – $154 |
| Medica | 246 |
$7 – $141 |
| HealthPartners | 278 |
$7 – $141 |
| Sanford Health Plan | 72 |
$14 – $140 |
| Security Health Plan | 54 |
$7 – $139 |
| AvMed | 63 |
$7 – $313 |
| Coventry | 171 |
$7 – $162 |
| MultiPlan / PHCS network | 913 |
$13 – $269 |
| Healthcare Highways | 51 |
$33 – $286 |
Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.
Where it’s cheapest
| State | Median cash |
|---|---|
| New Jersey | $16 |
| Maryland | $23 |
| Rhode Island | $26 |
| Arkansas | $27 |
| New York | $28 |
| Tennessee | $34 |
Prices by city
Prices by state
Doctors who perform this
Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| John Scolamiero, MD | Internal Medicine | East Rutherford, NJ | 860 |
| Mary Margaret Hurley, MD | Internal Medicine | Germantown, TN | 539 |
| Mark Fleming, MD | Hematology-Oncology | Hampton, VA | 505 |
| Ginine Beyer, MD | Pathology | Rockville, MD | 426 |
| David Heydt, M.D | Pathology | Silver Spring, MD | 372 |
| Russell Weg | Internal Medicine | Forest Hills, NY | 320 |
| Nenad Janicijevic, M.D. | Emergency Medicine | Mt Lebanon, PA | 213 |
| Jack Cappitelli, MD | Internal Medicine | Fair Lawn, NJ | 209 |
| Larisa Livshits, MD | Internal Medicine | Fairfield, NJ | 197 |
| Marvin Lessig, D.O. | Pathology | New Brunswick, NJ | 180 |
| Min Xu, M.D. | Pathology | Tacoma, WA | 178 |
| Joel Ang, MD | Family Practice | Washington, DC | 160 |
Does Medicare cover Lipase test?
Yes — Medicare generally covers Lipase test. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $7. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $1 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.
General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.
About these prices
Based on prices published by 2297 US hospitals across 52 states, the typical (median) cash price is $68, versus a chargemaster (list) price around $111, a median insurer-negotiated rate of $16, a Medicare rate of about $7. Most cash prices fall between $17 and $185 — a wide spread, which is exactly why comparing hospitals pays off.
How to save
- Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
- Compare several nearby hospitals; prices for the same service can differ severalfold.
- Request a written estimate and the billing code (CPT/DRG) before scheduling.
- Use the Medicare benchmark above to judge whether a quote is reasonable.
- If you are uninsured, ask about financial assistance or prompt-pay discounts.
Frequently asked questions
How much does Lipase test cost without insurance?
Does Medicare cover Lipase test?
What does Medicare pay for Lipase test?
Why do Lipase test prices vary between hospitals?
Is the cash price lower than using insurance?
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