CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Osceola Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $11
  • Cash Discount Price: $764
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Osceola Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $764. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.60x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.
Cash / Self-Pay
$764

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $764 (11089%)
Insurance Median: $11 (160%)
Cash: $764 (11089% of Medicare)
Ins. Median: $11 (160% 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
Avmed $2 - $751 29%
Freedom Health $2 - $108 29%
Optimum $2 - $108 29%
Simply $4 - $231 58%
Molina Healthcare $5 - $406 73%
Evolutions $6 - $346 87%
Humana $6 - $421 87%
Sunshine State Health Plan $6 - $383 87%
Aetna $7 - $451 102%
Align Senior Care $7 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Cigna $7 102%
Devoted Health $7 102%
Fl Health Care Plan $7 102%
Florida Complete Care $7 102%
Ndms Definitive Care $7 102%
Sunshine State $7 102%
United $7 - $676 102%
United Behavioral Health $7 102%
Wellcare $7 102%
Wellmed $7 102%
Careplus $8 116%
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 $10 145%
Solis Health Plan $10 145%
Simply Healthcare $11 160%
Plotkin Health $13 - $751 189%
Prime Health Sheriff $13 - $751 189%
Multiplan $19 - $1,277 276%
Evernorth $20 - $1,202 290%
Ppo Next $22 - $1,277 319%
Novanet $23 - $1,353 334%
Beacon Health Options $25 - $1,503 363%
Corvel Corporation $149 2163%
Prime Health $152 2206%
Careworks (Rockport Community) $157 2279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 West Oak Street, Kissimmee, FL 34741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals