CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Highlands Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $449
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Highlands Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $449. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 3600 S Highlands Ave, Sebring, FL.
Cash / Self-Pay
$449

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $449 (6517%)
Insurance Median: $8 (116%)
Cash: $449 (6517% of Medicare)
Ins. Median: $8 (116% 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
Humana $1 - $358 15%
Office Of Sheiff Highland Co $1 - $313 15%
United $1 - $403 15%
United Ppo $1 - $394 15%
Avmed $2 - $448 29%
Aetna $7 - $268 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Cigna $7 102%
Devoted Health $7 102%
Florida Complete Care $7 102%
Ndms Definitive Care $7 102%
Prominence Healthfirst $7 102%
Sunshine State $7 - $8 102%
Wellmed $7 102%
Amerihealth Caritas $8 116%
Centurion $8 116%
Longevity Health Plan $8 116%
Oscar $13 189%
Simply Healthcare $16 232%
Freedom Health $77 1118%
Prime Health $139 2017%
Molina $170 2467%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals