CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Lawnwood Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $548
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Lawnwood Hospital is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $548. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$548

Average discount available for prompt cash payment at this facility.

Insurance Median
$7

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: $548 (7954%)
Insurance Median: $7 (102%)
Cash: $548 (7954% of Medicare)
Ins. Median: $7 (102% 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 $2 - $5 29%
Optimum $2 29%
Avmed $4 - $14 58%
Cigna $4 - $683 58%
Simply Healthcare Plans $4 58%
Health Sun Health Plan $6 87%
Molina $6 - $8 87%
Aetna $7 - $564 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 - $790 102%
Bright Health $7 - $320 102%
Careplus $7 102%
Delaware Life Insurance $7 102%
Devoted Health $7 102%
Florida Complete Care $7 102%
Humana $7 - $12 102%
Innovage Pace $7 102%
Kaiser $7 - $379 102%
Mutual Of Omaha $7 102%
Ndms Definitive Care $7 102%
Prominence Healthfirst $7 102%
Rocky Mountain Health $7 102%
Rocky Mountain Health Plan $7 102%
Sunshine State $7 - $8 102%
Sunshine State Health Plan $7 102%
Total Longterm Care $7 102%
Triwest Health Alliance $7 102%
Ultimate Health Plan $7 102%
United $7 - $480 102%
United Behavioral Health $7 102%
Veterans Evaluation Services $7 102%
Wellcare $7 102%
Wellmed $7 102%
Amerihealth Caritas $8 116%
Centurion $8 116%
Longevity Health Plan $8 116%
Office Of Sheiff Highland Co $10 145%
Solis Health Plan $10 145%
Oscar $13 189%
United Ppo $13 189%
Plotkin Health $14 203%
Prime Health Sherriff $14 203%
Simply Healthcare $16 232%
Multiplan $22 - $961 319%
Evernorth Bh $23 334%
Corvel Corporation $155 2250%
Careworks (Rockport) $158 2293%
Prime Health $158 - $961 2293%
Vail Health $162 2351%
Western Plains Community Health $694 10073%
Northcare $747 10842%
Physician Health Partners $747 10842%
Pinnacol Workers Comp $801 11626%
Medical Development International $854 12395%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals