CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Twin Cities Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $138
  • Cash Discount Price: $893
  • vs. Medicare Baseline: 20.03x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Twin Cities Hospital is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $893. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 20.03x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.
Cash / Self-Pay
$893

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $893 (12961%)
Insurance Median: $138 (2003%)
Cash: $893 (12961% of Medicare)
Ins. Median: $138 (2003% 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 2003% of the Medicare baseline (a markup of 1903%). 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
Humana $6 - $339 87%
Aetna $7 - $268 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Florida Complete Care $7 102%
Healthspring Of Florida $7 102%
Ndms Definitive Care $7 102%
Regency Hospice $7 102%
Sunshine State $7 102%
United $7 - $402 102%
Wellcare $7 102%
Wellmed $7 102%
Centurion $8 116%
Clear Spring Health $8 116%
Gold Kidney Of Florida $8 116%
Longevity Health Plan $8 116%
Ultimate Health Plan $8 116%
Oscar $9 131%
Simply Healthcare $11 160%
Simply $138 2003%
Corvel Corporation $150 2177%
Prime Health $154 2235%
Careworks (Rockport Community) $158 2293%
Molina Healthcare $170 - $286 2467%
Avmed $214 - $446 3106%
Sunshine State Health Plan $228 3309%
Plotkin Health $446 6473%
Prime Health Sheriff $446 6473%
Evolutions Healthcare $580 - $759 8418%
Multiplan $697 - $759 10116%
Ppo Next $759 11016%
Novanet $804 11669%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals