CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Jfk Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $160
  • Cash Discount Price: $2,157
  • vs. Medicare Baseline: 23.22x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Jfk Hospital is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,157. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 23.22x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$2,157

Average discount available for prompt cash payment at this facility.

Insurance Median
$160

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: $2,157 (31306%)
Insurance Median: $160 (2322%)
Cash: $2,157 (31306% of Medicare)
Ins. Median: $160 (2322% 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 2322% of the Medicare baseline (a markup of 2222%). 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 $7 - $647 102%
Align $7 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Careplus Sfl $7 102%
Cigna $7 102%
Devoted Health $7 102%
Florida Complete Care $7 102%
Humana $7 - $733 102%
Ndms Definitive Care $7 102%
Oscar $7 - $10 102%
Palm Beach Pace $7 102%
Prominence Healthfirst $7 102%
Sunshine State $7 - $8 102%
United $7 - $971 102%
United Behavioral Health $7 102%
Veterans Evaluation Services $7 102%
Wellmed $7 102%
Amerihealth Caritas $8 - $10 116%
Centurion $8 116%
Doctors Healthcare Plan $8 116%
Gold Kidney $8 116%
Longevity Health Plan $8 116%
Simply Healthcare $9 131%
Solis Health Plan $10 145%
Corvel Corporation $156 2264%
Careworks (Rockport) $160 2322%
Prime Health $160 2322%
Freedom Health $186 - $345 2700%
Optimum $186 2700%
Avmed $280 - $1,078 4064%
Simply Healthcare Plans $280 4064%
Molina $367 - $582 5327%
Health Sun Health Plan $459 6662%
Aids Healthcare $475 - $2,588 6894%
Mmm Of Fl (Health Advantage Plan) $496 7199%
United Ppo $511 7417%
Healthy Palm Beaches $550 7983%
Sunshine State Health Plan $561 8142%
Blis $755 10958%
District Cares $1,078 15646%
Plotkin Health $1,078 15646%
Prime Health Sherriff $1,078 15646%
Medica Healthcare $1,273 18476%
Multiplan $1,618 - $1,833 23483%
Evernorth Bh $1,726 25051%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals