CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Capital Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $11
  • Cash Discount Price: $282
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Capital Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.60x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.
Cash / Self-Pay
$282

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $282 (4093%)
Insurance Median: $11 (160%)
Cash: $282 (4093% of Medicare)
Ins. Median: $11 (160% 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
Humana $6 - $56 87%
Aetna $7 - $85 102%
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%
Sunshine State $7 102%
United $7 - $127 102%
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%
Ultimate Health Plan $8 116%
Gadsden County Jail $9 131%
Oscar $9 131%
Physician Network Association $9 131%
Simply Healthcare $11 160%
Naphcare $12 174%
Simply $43 624%
Molina Healthcare $54 - $90 784%
Avmed $68 - $141 987%
Sunshine State Health Plan $72 1045%
Corvel Corporation $138 2003%
Plotkin Health $141 2046%
Prime Health $141 2046%
Prime Health Sheriff $141 2046%
Careworks (Rockport Community) $146 2119%
Multiplan $220 - $240 3193%
Evernorth $226 3280%
Evolutions Healthcare $240 3483%
Ppo Next $240 3483%
Novanet $254 3687%
Beacon Health Options $282 4093%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2626 Capital Medical Blvd, Tallahassee, FL 32308
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals