CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida North Florida Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $12
  • Cash Discount Price: $768
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida North Florida Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $768. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.74x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$768

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $768 (11147%)
Insurance Median: $12 (174%)
Cash: $768 (11147% of Medicare)
Ins. Median: $12 (174% 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
Avmed $3 - $755 44%
Simply $4 - $233 58%
United $4 - $680 58%
Humana $5 - $302 73%
Molina Healthcare $5 - $483 73%
Evolutions $6 - $347 87%
Hospice Of North Central Fl $6 87%
Sunshine State Health Plan $6 - $385 87%
Aetna $7 - $453 102%
Align Senior Care $7 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Capital Health Plan $7 102%
Cigna $7 102%
Florida Complete Care $7 102%
Ndms Definitive Care $7 102%
Sunshine State $7 102%
United Behavioral Health $7 102%
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%
Plotkin Health $13 - $755 189%
Prime Health Sheriff $13 - $755 189%
Corizon Phs $15 - $906 218%
Evernorth $20 - $1,208 290%
Multiplan $20 - $1,284 290%
Evolutions Healthcare $21 - $1,284 305%
Ppo Next $21 - $1,284 305%
Novanet $23 - $1,359 334%
Beacon Health Options $25 - $1,510 363%
Corvel Corporation $157 2279%
Prime Health $161 2337%
Careworks (Rockport Community) $165 2395%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals