CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Blake Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $74
  • Cash Discount Price: $1,026
  • vs. Medicare Baseline: 10.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Blake Hospital is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,026. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 10.74x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.
Cash / Self-Pay
$1,026

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $1,026 (14891%)
Insurance Median: $74 (1074%)
Cash: $1,026 (14891% of Medicare)
Ins. Median: $74 (1074% 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 1074% of the Medicare baseline (a markup of 974%). 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
Caresource $6 87%
Humana $6 - $287 87%
Aetna $7 - $308 102%
Align Senior Care $7 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Cigna $7 102%
Devoted Health $7 102%
Florida Complete Care $7 102%
Ndms Definitive Care $7 102%
Secur $7 102%
Sunshine State $7 102%
Ultimate Health Plan $7 102%
United $7 - $462 102%
United Va Ccn $7 102%
Wellcare $7 102%
Wellmed $7 102%
Careplus $8 116%
Centurion $8 116%
Clear Spring Health $8 116%
Gold Kidney Of Florida $8 116%
Simply Healthcare $10 - $174 145%
Oscar $11 160%
Access 2 Healthcare Physicians Freedom Optimum Group Members $48 697%
Access 2 Healthcare Physicians Freedom Health $74 1074%
Access 2 Healthcare Physicians Optimum $74 1074%
Freedom Health Care $80 1161%
Optimum Healthcare $80 1161%
Avmed $82 - $257 1190%
Corvel Corporation $151 2192%
Rockport Healthcare Group $151 2192%
Prime Health $154 2235%
Molina $195 - $277 2830%
Evolutions Healthcare Systems $236 - $944 3425%
Sunshine State Health Plan $262 3803%
Behealthy America $400 5806%
Healthcare Sarasota $513 7446%
Plotkin Health $513 7446%
Prime Health Sheriff $513 7446%
Multiplan $770 - $872 11176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 59Th St W, Bradenton, FL 34209
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals