CMS Price Transparency Data

Blood test, lipase

Facility: Baptist Medical Center Beaches

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $89
  • Cash Discount Price: $173
  • vs. Medicare Baseline: 12.92x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Baptist Medical Center Beaches is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 12.92x the Medicare baseline. Located in 1350 13Th Ave S, Jacksonville Beach, FL.
Cash / Self-Pay
$173

Average discount available for prompt cash payment at this facility.

Insurance Median
$89

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: $173 (2511%)
Insurance Median: $89 (1292%)
Cash: $173 (2511% of Medicare)
Ins. Median: $89 (1292% 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 1292% of the Medicare baseline (a markup of 1192%). 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 - $223 44%
Amerigroup Of Georgia $3 44%
Amerihealth Caritas $3 44%
Daniel Memorial $3 44%
Florida Community Care $3 - $7 44%
Molina Healthcare Of Florida $3 44%
Simply Healthcare Plans $3 44%
Simply Healthcare Plans - Cha $3 44%
Sunshine State Health Plan $3 44%
United Community Plan $3 44%
Vivida Health $3 44%
Community Hospice Of Northeast Florida $7 102%
Devoted $7 102%
Pace $7 102%
Tomorrow'S Rainbow $7 102%
UnitedHealthcare $7 - $146 102%
Va Ccn $7 102%
Upmc $8 116%
Ambetter / Centene $17 247%
Blue Cross Blue Shield $56 - $181 813%
Avmed $89 - $142 1292%
Borland Groover $112 1626%
Occunet $112 1626%
Cigna $117 - $170 1698%
Northeast Florida State Hospital $117 1698%
Centivo $123 - $237 1785%
Capital Health Plan $128 1858%
Geo Group $140 2032%
Watchtower $153 2221%
Fscj Student Insurance $167 2424%
Suddath Company $176 2554%
Caresource Of Georgia $181 2627%
Medicaid / KanCare $181 2627%
Peach State Health Plan $181 2627%
Phcs $209 3033%
Evolutions Healthcare $251 3643%
Multiplan $251 3643%
Corvel $273 3962%
Coventry Workers Comp $273 3962%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1350 13Th Ave S, Jacksonville Beach, FL 32250
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals