CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Fawcett Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $10
  • Cash Discount Price: $1,010
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Fawcett Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,010. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.
Cash / Self-Pay
$1,010

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $1,010 (14659%)
Insurance Median: $10 (145%)
Cash: $1,010 (14659% of Medicare)
Ins. Median: $10 (145% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $1 - $94 15%
Access 2 Healthcare Physicians Freedom Health $2 - $144 29%
Access 2 Healthcare Physicians Optimum $2 - $144 29%
Avmed $2 - $500 29%
Freedom Health Care $2 - $156 29%
Optimum Healthcare $2 - $156 29%
Simply Healthcare $3 - $308 44%
United $3 - $899 44%
Molina $4 - $540 58%
Evolutions Healthcare Systems $5 - $1,838 73%
Sunshine State Health Plan $5 - $510 73%
Aetna $6 - $599 87%
Caresource $6 87%
Humana $6 - $559 87%
Align Senior Care $7 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Cigna $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 Va Ccn $7 102%
Wellcare $7 102%
Wellmed $7 102%
Behealthy America $8 - $779 116%
Centurion $8 116%
Clear Spring Health $8 116%
Gold Kidney Of Florida $8 116%
Healthcare Sarasota $11 - $999 160%
Oscar $11 160%
Plotkin Health $11 - $999 160%
Prime Health Sheriff $11 - $999 160%
Multiplan $16 - $1,698 232%
Corvel Corporation $146 2119%
Rockport Healthcare Group $146 2119%
Prime Health $149 2163%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 21298 Olean Blvd, Port Charlotte, FL 33952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals