CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Kendall Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Kendall Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

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: $33 (479%)
Insurance Median: $8 (116%)
Cash: $33 (479% of Medicare)
Ins. Median: $8 (116% 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 $3 - $5 44%
Optimum $3 44%
Avmed $4 - $16 58%
Simply Healthcare Plans $4 58%
Molina $6 - $9 87%
Aetna $7 - $10 102%
Aids Healthcare $7 - $40 102%
Align $7 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Careplus Sfl $7 102%
Cigna $7 102%
Devoted Health $7 102%
Florida Complete Care $7 102%
Health Sun Health Plan $7 102%
Humana $7 - $11 102%
Leon Health $7 102%
Ndms Definitive Care $7 102%
Oscar $7 - $10 102%
Prominence Healthfirst $7 102%
Sunshine State $7 - $8 102%
United $7 - $15 102%
United Behavioral Health $7 102%
Veterans Evaluation Services $7 102%
Wellmed $7 102%
Amerihealth Caritas $8 - $10 116%
Centurion $8 116%
Doctors Healthcare Plan $8 116%
Gold Kidney $8 116%
Longevity Health Plan $8 116%
Mmm Of Fl (Health Advantage Plan) $8 116%
United Ppo $8 116%
Simply Healthcare $9 131%
Sunshine State Health Plan $9 131%
Solis Health Plan $10 145%
Naphcare $12 174%
Seven Corners $14 - $17 203%
Wellpath $14 - $17 203%
Plotkin Health $16 232%
Prime Health Sherriff $16 232%
Medica Healthcare $19 276%
Multiplan $25 - $28 363%
Evernorth Bh $26 377%
Corvel Corporation $162 2351%
Careworks (Rockport) $166 2409%
Prime Health $166 2409%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11750 Bird Rd, Miami, FL 33175
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals