CMS Price Transparency Data

Blood test, lipase

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $48
  • Cash Discount Price: $85
  • vs. Medicare Baseline: 6.97x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Larkin Community Hospital Palm Springs Campus is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 6.97x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$85

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

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: $85 (1234%)
Insurance Median: $48 (697%)
Cash: $85 (1234% of Medicare)
Ins. Median: $48 (697% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 697% of the Medicare baseline (a markup of 597%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $3 - $7 44%
Florida Community Care Mcaid-All Plans $3 44%
Miami Childrens Hp Mcaid-All Plans $3 44%
Simply Healthcare Mcaid $3 44%
Sunshine Mcaid $3 44%
United Mcaid $3 44%
Wellcare Mcaid $3 44%
Ambetter / Centene $7 102%
Blue Cross Blue Shield $7 - $172 102%
Clear Springs Health - All Plans $7 102%
Fdc - All Plans $7 102%
Medicare (plans) $7 - $194 102%
Opus Hospice Ip Only - All Plans $7 102%
Unicare Simply Mcare Ppo - All Plans $7 102%
Bright Health Commercial - All Other Plans $8 116%
Ccs - All Plans $9 131%
Cigna $12 - $48 174%
Humana $14 - $194 203%
Wellcare Comm (Choice) - All Other Plans $24 - $97 348%
Leon Med Center Mcr Adv - All Plans $43 - $175 624%
Careplus Health - All Other Plans $48 - $194 697%
Centurion Doc - All Plans $48 - $194 697%
Doctors Healthcare - All Plans $48 - $194 697%
Florida Health Solution/Hmo - All Plans $48 - $194 697%
Preferred Care Partners Mcr - All Plans $48 - $194 697%
Simply Healthcare Mcr - All Other Plans $48 - $194 697%
UnitedHealthcare $48 - $194 697%
Naphcare - All Plans $55 - $223 798%
Oscar Health-All Plans $96 - $388 1393%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals