Lipase (fat enzyme) level
Medicare pricing data for 12,035 providers across 51 states
This procedure has a 6.8x markup — hospitals charge $45.70 but Medicare allows only $6.73. Uninsured patients may face bills 6.8 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Lipase (fat enzyme) level (HCPCS code 83690) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.73, but hospitals typically charge $45.70 — a 6.8x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.73, your out-of-pocket cost would be approximately $1.35. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.8x more than what Medicare allows for this procedure. Medicare actually pays $6.73 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $7 | $17 | 4 | 60 | +0.3% |
| Montana | $7 | $34 | 35 | 352 | +0.3% |
| Wyoming | $7 | $53 | 42 | 252 | +0.3% |
| Puerto Rico | $7 | $9 | 189 | 713 | +0.3% |
| California | $7 | $37 | 372 | 70,920 | +0.3% |
| Florida | $7 | $49 | 570 | 30,998 | +0.1% |
| Georgia | $7 | $60 | 190 | 7,666 | +0.1% |
| Illinois | $7 | $48 | 393 | 13,452 | +0.1% |
| Kansas | $7 | $59 | 129 | 9,220 | +0.1% |
| Massachusetts | $7 | $52 | 574 | 10,446 | +0.1% |
| Missouri | $7 | $54 | 243 | 3,301 | +0.1% |
| Nevada | $7 | $58 | 22 | 2,484 | +0.1% |
| New Jersey | $7 | $49 | 291 | 47,012 | +0.1% |
| New Mexico | $7 | $49 | 28 | 863 | +0.1% |
| New York | $7 | $67 | 915 | 26,152 | +0.1% |
| North Dakota | $7 | $32 | 53 | 1,017 | +0.1% |
| South Dakota | $7 | $30 | 82 | 662 | +0.1% |
| Virginia | $7 | $29 | 313 | 5,974 | +0.1% |
| Arizona | $7 | $48 | 235 | 11,859 | +0.1% |
| Colorado | $7 | $50 | 107 | 3,544 | +0.1% |
| Maryland | $7 | $44 | 170 | 6,440 | 0.0% |
| Michigan | $7 | $20 | 52 | 3,342 | 0.0% |
| North Carolina | $7 | $45 | 722 | 35,670 | 0.0% |
| Ohio | $7 | $43 | 295 | 12,700 | 0.0% |
| Oklahoma | $7 | $51 | 59 | 3,866 | 0.0% |
| Pennsylvania | $7 | $44 | 63 | 4,934 | 0.0% |
| Rhode Island | $7 | $39 | 6 | 687 | 0.0% |
| Texas | $7 | $52 | 774 | 34,510 | 0.0% |
| Indiana | $7 | $24 | 97 | 1,770 | -0.1% |
| Iowa | $7 | $34 | 277 | 1,975 | -0.1% |
| Louisiana | $7 | $31 | 88 | 1,331 | -0.1% |
| Maine | $7 | $21 | 120 | 789 | -0.1% |
| Nebraska | $7 | $21 | 101 | 1,222 | -0.1% |
| New Hampshire | $7 | $30 | 56 | 214 | -0.1% |
| Utah | $7 | $20 | 245 | 1,655 | -0.1% |
| Alabama | $7 | $44 | 268 | 12,709 | -0.1% |
| Connecticut | $7 | $37 | 137 | 612 | -0.1% |
| Oregon | $7 | $26 | 171 | 2,698 | -0.3% |
| Idaho | $7 | $31 | 41 | 247 | -0.4% |
| South Carolina | $7 | $37 | 216 | 3,868 | -0.4% |
| Hawaii | $7 | $27 | 7 | 2,319 | -0.6% |
| Kentucky | $7 | $30 | 142 | 1,943 | -0.6% |
| Arkansas | $7 | $24 | 220 | 1,602 | -0.6% |
| Minnesota | $7 | $34 | 1,042 | 5,489 | -0.7% |
| Tennessee | $7 | $32 | 869 | 11,361 | -0.7% |
| West Virginia | $7 | $42 | 15 | 252 | -0.7% |
| Mississippi | $7 | $46 | 161 | 1,694 | -0.9% |
| Washington | $7 | $45 | 436 | 8,535 | -0.9% |
| District of Columbia | $7 | $16 | 4 | 166 | -1.9% |
| Alaska | $7 | $85 | 64 | 166 | -1.9% |
| Wisconsin | $7 | $72 | 311 | 4,399 | -2.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber