CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Lake City Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $110
  • Cash Discount Price: $919
  • vs. Medicare Baseline: 15.97x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Lake City Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $919. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 15.97x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.
Cash / Self-Pay
$919

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $919 (13338%)
Insurance Median: $110 (1597%)
Cash: $919 (13338% of Medicare)
Ins. Median: $110 (1597% 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 1597% of the Medicare baseline (a markup of 1497%). 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
Hospice Of North Central Fl $6 87%
Humana $6 - $184 87%
Aetna $7 - $276 102%
Align Senior Care $7 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Cigna $7 102%
Florida Complete Care $7 102%
Ndms Definitive Care $7 102%
Sunshine State $7 102%
United $7 - $413 102%
Wellcare $7 102%
Wellmed $7 102%
Centurion $8 116%
Clear Spring Health $8 116%
Gold Kidney Of Florida $8 116%
Longevity Health Plan $8 116%
Oscar $8 116%
Ultimate Health Plan $8 116%
Simply Healthcare $9 131%
Avmed $110 - $459 1597%
Corvel Corporation $140 2032%
Simply $141 2046%
Prime Health $143 2075%
Careworks (Rockport Community) $147 2134%
Evolutions $211 - $781 3062%
Sunshine State Health Plan $234 3396%
Molina Healthcare $294 4267%
Plotkin Health $459 6662%
Prime Health Sheriff $459 6662%
Hamilton County Jail $496 7199%
Multiplan $716 - $781 10392%
Ppo Next $781 11335%
Novanet $827 12003%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 340 Nw Commerce Dr, Lake City, FL 32055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals