CMS Price Transparency Data

Blood test, lipase

Facility: North Shore Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $1,158
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at North Shore Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,158. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$1,158

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)
Cash / Self-Pay: $1,158 (16807%)
Insurance Median: $10 (145%)
Cash: $1,158 (16807% of Medicare)
Ins. Median: $10 (145% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.89 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Cigna $3 - $579 44%
Humana $3 - $462 44%
Medicaid / KanCare $3 - $1,158 44%
UnitedHealthcare $3 - $7 44%
Veterans Administration Mill Bill $5 73%
Avmed Broad Network $6 87%
Medicare (plans) $6 - $1,158 87%
Aetna $7 - $833 102%
Devoted Health $7 102%
Employer Direct Healthcare $7 - $9 102%
Healthsun Health Plans $7 102%
Hospice Other $7 102%
Leon Health Inc $7 102%
Longevity Health Plan $7 102%
Tricare $7 102%
Veterans Administration Vaccn $7 102%
Bright Health Management Commercial $8 116%
Centurion Prison $8 116%
Florida Pace Centers $8 116%
Imagine Health $8 116%
Oscar Health Plan Hix $8 116%
Self Pay/Uninsured $8 116%
Avmed Exchange $12 174%
Dimension Health Wc $12 174%
Workers Compensation $12 174%
Ambetter / Centene $13 189%
Molina Marketplace Program Exchange $13 189%
Auto Insurance $14 203%
Avmed Select Network $14 203%
Amerihealth Caritas Next Exchange $15 218%
Bc/Bs Myblue Hmo Hix $143 2075%
Bc/Bs Of Fl Network Blue $154 2235%
Bc/Bs Of Fl Ppo $154 2235%
Bc/Bs Of Fl Simplyblue $154 2235%
Bc/Bs Of Fl Blue Select Exchange Non Par $166 2409%
Bc/Bs Of Fl Health Options Hmo $166 2409%
Bc/Bs Of Fl Phs $600 8708%
Magellan Behavioral Health $695 10087%
Dimensions International $752 10914%
First Health $787 11422%
Dimension Health Ppo $868 12598%
Beacon Health Strategies Commercial $1,158 16807%
Commercial Non-Contracted $1,158 16807%
Self Pay - Mcd Pending 100 Percent $1,158 16807%
Single Case Agreement $1,158 16807%
United Behavioral Health Psych $1,158 16807%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals