CMS Price Transparency Data

Blood test, lipase

Facility: North Okaloosa Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $103
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at North Okaloosa Medical Center is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$103

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $103 (1495%)
Insurance Median: $10 (145%)
Cash: $103 (1495% of Medicare)
Ins. Median: $10 (145% 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
Amerigroup $3 44%
Humana $3 - $7 44%
Integral Health $3 44%
Magellan Health $3 44%
Medicaid / KanCare $3 44%
Prestige Health $3 44%
Simply Healthcare $3 - $7 44%
UnitedHealthcare $3 - $91 44%
Wellcare $3 - $7 44%
Node Champva $6 87%
Tricare $6 87%
Aetna $7 - $343 102%
Blue Cross Blue Shield $7 - $458 102%
Cigna $7 - $357 102%
Florida Department Of Corrections $7 102%
Medicare (plans) $7 102%
Node Non Par Hospice Agree $7 102%
Node Va $7 102%
Veterans Eval Services $7 102%
Node Us Dept Of Labor $9 131%
Oscar $10 145%
Evolutions $11 - $403 160%
Usa Managed Care Work Comp Fl $11 160%
Amcomp Workers Comp $12 174%
Prime Health Work Comp Fl $12 174%
State Auto Insurance Fl $14 203%
Occunet $17 247%
Self Pay $82 - $124 1190%
Corizon Health Inc $155 2250%
Phcs $412 5980%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals