CMS Price Transparency Data

Blood test, lipase

Facility: Central Florida Lake Monroe Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $11
  • Cash Discount Price: $234
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Central Florida Lake Monroe Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $234. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.60x the Medicare baseline. Located in 1401 W Seminole Blvd, Sanford, FL.
Cash / Self-Pay
$234

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: $234 (3396%)
Insurance Median: $11 (160%)
Cash: $234 (3396% 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
Freedom Health $2 - $32 29%
Optimum $2 - $32 29%
Molina Healthcare $4 - $143 58%
Simply $4 - $69 58%
Avmed $5 - $223 73%
Evolutions $5 - $102 73%
Humana $5 - $89 73%
Sunshine State Health Plan $6 - $114 87%
Aetna $7 - $134 102%
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 - $200 102%
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%
Seminole County Sheriffs Office $8 116%
Ultimate Health Plan $8 116%
Florida Health Care Plan $9 - $168 131%
Oscar $10 145%
Solis Health Plan $10 145%
Plotkin Health $11 - $223 160%
Prime Health Sheriff $11 - $223 160%
Simply Healthcare $11 160%
Multiplan $17 - $379 247%
Three Rivers Provider Network $17 - $334 247%
Ppo Next $19 - $379 276%
Novanet $20 - $401 290%
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: 1401 W Seminole Blvd, Sanford, FL 32771
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals