CMS Price Transparency Data

Blood test, lipase

Facility: Santa Rosa Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Santa Rosa Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$17

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $17 (247%)
Insurance Median: $7 (102%)
Cash: $17 (247% of Medicare)
Ins. Median: $7 (102% 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
Cigna $1 - $93 15%
Self Pay $1 - $94 15%
UnitedHealthcare $1 - $80 15%
Fl Community Care $3 44%
Humana $3 - $7 44%
Medicaid / KanCare $3 44%
Molina $3 44%
Wellcare $3 44%
Aetna $4 - $230 58%
Prime Health Services $5 - $328 73%
Tricare $5 - $6 73%
Blue Cross Blue Shield $6 - $410 87%
Hospice Of Nw Fl $6 - $7 87%
Medicare (plans) $6 - $7 87%
Node Champva $6 87%
Node Va $6 - $7 87%
Oscar $6 - $10 87%
Veterans Eval Services $6 - $7 87%
Node Wellcare Mcr Adv $7 102%
Geo Group $8 - $9 116%
Node Us Dept Of Labor $8 - $9 116%
Florida Workers Compensation $12 174%
Prime Health Work Comp Fl $12 174%
Florida State Auto Insurance $13 - $14 189%
Ambetter / Centene $15 - $16 218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals