CMS Price Transparency Data

Blood test, lipase

Facility: Hialeah Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $567
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Hialeah Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $567. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 651 E 25Th St, Hialeah, FL.
Cash / Self-Pay
$567

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: $567 (8229%)
Insurance Median: $8 (116%)
Cash: $567 (8229% 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
Cigna $3 - $167 44%
Humana $3 - $260 44%
Medicaid / KanCare $3 44%
UnitedHealthcare $3 - $7 44%
Veterans Administration Mill Bill $5 73%
Avmed Broad Network $6 87%
Medicare (plans) $6 - $15 87%
Aetna $7 - $408 102%
Bristol Hospice- Miami Dade Llc $7 102%
Catholic Hospice $7 102%
Comprehensive Home Health Care Dba Opuscare Of South Florida $7 102%
Devoted Health $7 102%
Employer Direct Healthcare $7 - $9 102%
Hcr Manor Care Services Of Fl $7 102%
Healthsun Health Plans $7 102%
Hospice Other $7 102%
Leon Health Inc $7 102%
Longevity Health Plan $7 102%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $7 102%
Seasons Hospice And Pallative Care Of Southern Florida Inc $7 102%
Tricare $7 102%
Veterans Administration Vaccn $7 102%
Vitas Healthcare Hospice Corporation Of Fl $7 102%
Vitas Hospice Unit Agreement $7 102%
Bright Health Management Commercial $8 116%
Florida Pace Centers $8 116%
Imagine Health $8 116%
Oscar Health Plan Hix $8 116%
Self Pay/Uninsured $8 116%
Naphcare Inc $9 131%
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 $70 1016%
Bc/Bs Of Fl Health Options Hmo $75 1089%
Bc/Bs Of Fl Simplyblue $75 1089%
Bc/Bs Of Fl Network Blue $81 1176%
Bc/Bs Of Fl Ppo $81 1176%
Bc/Bs Of Fl Blue Select Exchange Non Par $87 1263%
Bc/Bs Of Fl Miami Dade Blue Select $87 1263%
Bc/Bs Of Fl Phs $294 4267%
Dimensions International $368 5341%
First Health $385 5588%
Dimension Health Ppo $425 6168%
Commercial Non-Contracted $567 8229%
Self Pay - Mcd Pending 100 Percent $567 8229%
Single Case Agreement $567 8229%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 E 25Th St, Hialeah, FL 33013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals