CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida West Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $12
  • Cash Discount Price: $290
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida West Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.74x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.
Cash / Self-Pay
$290

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: $290 (4209%)
Insurance Median: $12 (174%)
Cash: $290 (4209% 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
Freedom Health $3 - $71 44%
Simply $4 - $86 58%
Humana $5 - $111 73%
Molina Healthcare $5 - $178 73%
United $5 - $250 73%
Avmed $6 - $278 87%
Sunshine State Health Plan $6 - $142 87%
Value Options $6 87%
Aetna $7 - $167 102%
Align Senior Care $7 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Florida Complete Care $7 102%
Healthspring Of Florida $7 102%
Ndms Definitive Care $7 102%
Sunshine State $7 102%
Triwest Healthcare Alliance $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 $11 160%
Plotkin Health $12 - $278 174%
Prime Health Sheriff $12 - $278 174%
Naphcare $14 - $17 203%
Seven Corners $14 - $17 203%
Evolutions Healthcare $16 - $473 232%
Multiplan $19 - $473 276%
Evernorth $20 - $445 290%
Ppo Next $21 - $473 305%
Novanet $22 - $500 319%
Beacon Health Options $24 - $556 348%
Corvel Corporation $143 2075%
Prime Health $146 2119%
Careworks (Rockport Community) $151 2192%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8383 N Davis Hwy, Pensacola, FL 32514
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals