CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Putnam Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $18
  • Cash Discount Price: $490
  • vs. Medicare Baseline: 2.61x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Putnam Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $490. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 2.61x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.
Cash / Self-Pay
$490

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

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: $490 (7112%)
Insurance Median: $18 (261%)
Cash: $490 (7112% of Medicare)
Ins. Median: $18 (261% 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 261% of the Medicare baseline (a markup of 161%). 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
Humana $6 - $153 87%
Aetna $7 - $270 102%
Align Senior Care $7 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Cigna $7 102%
Fl Health Care Plan $7 102%
Florida Complete Care $7 102%
Ndms Definitive Care $7 102%
Sunshine State $7 102%
United $7 - $405 102%
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%
Putnam County Sheriffs $8 116%
Ultimate Health Plan $8 116%
Simply Healthcare $9 131%
Avmed $10 - $450 145%
Simply $12 - $139 174%
Molina Healthcare $15 - $288 218%
Evolutions $18 - $207 261%
Sunshine State Health Plan $20 - $230 290%
Plotkin Health $40 - $450 581%
Prime Health Sheriff $40 - $450 581%
Multiplan $62 - $765 900%
Corvel Corporation $140 2032%
Prime Health $143 2075%
Careworks (Rockport Community) $147 2134%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 Zeagler Dr, Palatka, FL 32177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals