CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Northside Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $955
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Northside Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $955. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.
Cash / Self-Pay
$955

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: $955 (13861%)
Insurance Median: $8 (116%)
Cash: $955 (13861% 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
Aetna $1 - $572 15%
Avmed $1 - $477 15%
Evolutions Healthcare Systems $1 - $1,754 15%
Humana $1 - $534 15%
Molina $1 - $515 15%
Sunshine State Health Plan $1 - $486 15%
Plotkin Health $2 - $953 29%
Prime Health Sheriff $2 - $953 29%
United $2 - $858 29%
Multiplan $3 - $1,620 44%
Caresource $6 87%
Align Senior Care $7 102%
American Health Plan $7 102%
Baycare Health Plans $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 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%
Longevity Health Plan $8 116%
Simply Healthcare $8 - $294 116%
Oscar $9 131%
Solis Health Plan $10 145%
Access 2 Healthcare Physicians Freedom Optimum Group Members $90 1306%
Access 2 Healthcare Physicians Freedom Health $137 1988%
Access 2 Healthcare Physicians Optimum $137 1988%
Freedom Health Care $149 2163%
Optimum Healthcare $149 2163%
Corvel Corporation $151 2192%
Rockport Healthcare Group $151 2192%
Suncoast Neighborly Care $153 2221%
Prime Health $154 2235%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6000 49Th St N, Saint Petersburg, FL 33709
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals