Lipase test Cost by Hospital

Lipase test is a laboratory test. Prices are from 2297 US hospitals across 52 states, from their machine-readable files.

$68median cash price · 2297 hospitals, 52 statestypically $17–$185 depending on the hospital
≈ 9.8× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$111
Cash / self-pay
$68
Insurer-negotiated
$16
Medicare pays
$7
$17$185
Median cash $68  ·  Medicare $7  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

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%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
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.

InsurerHospitalsNegotiated median
Amerigroup 181
$7
$3 – $23
Tricare / VA 460
$7
$7 – $68
Medicare 603
$7
$7 – $48
Medicaid 379
$7
$4 – $52
Independent Health 51
$7
$6 – $7
UnitedHealthcare 1624
$7
$6 – $103
Univera 16
$7
$6 – $10
Devoted Health 259
$7
$7 – $8
Geisinger 70
$7
$6 – $55
Highmark 130
$7
$5 – $32
Molina Healthcare 601
$8
$6 – $54
AmeriHealth 257
$8
$6 – $54
UPMC Health Plan 104
$8
$6 – $44
Bright Health 66
$8
$7 – $15
MVP Health Care 83
$8
$6 – $56
Centene / Ambetter 872
$9
$6 – $74
Kaiser Permanente 232
$9
$6 – $146
Anthem 640
$10
$6 – $71
Humana 1130
$10
$7 – $98
Oscar Health 234
$11
$7 – $55
Health Net 321
$12
$7 – $271
SelectHealth 48
$13
$7 – $101
Blue Cross Blue Shield 1383
$15
$7 – $141
UCare 66
$16
$7 – $81
EmblemHealth 75
$19
$6 – $59
Priority Health 59
$20
$5 – $69
Aetna 1507
$20
$7 – $153
Harvard Pilgrim 58
$22
$7 – $71
Cigna 1267
$24
$7 – $155
Workers' Comp / No-Fault 157
$26
$9 – $154
Medica 246
$27
$7 – $141
HealthPartners 278
$42
$7 – $141
Sanford Health Plan 72
$47
$14 – $140
Security Health Plan 54
$50
$7 – $139
AvMed 63
$50
$7 – $313
Coventry 171
$50
$7 – $162
MultiPlan / PHCS network 913
$94
$13 – $269
Healthcare Highways 51
$112
$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

StateMedian 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.

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?
The median cash (self-pay) price across 2297 US hospitals is $68. Most hospitals fall between $17 and $185. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Lipase test?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $7). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Lipase test?
Medicare pays about $7. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Lipase test prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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