CMS Price Transparency Data

Blood test, lipase

Facility: St Lucie Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $7
  • Cash Discount Price: $491
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at St Lucie Medical Center is $7. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $491. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.02x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.
Cash / Self-Pay
$491

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: $491 (7126%)
Insurance Median: $7 (102%)
Cash: $491 (7126% 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
Aetna $1 - $293 15%
Avmed $1 - $489 15%
Humana $1 - $391 15%
Molina $1 - $264 15%
Sunshine State Health Plan $1 - $249 15%
Plotkin Health $2 - $489 29%
Prime Health Sherriff $2 - $489 29%
United $2 - $440 29%
United Ppo $2 - $430 29%
Multiplan $3 - $831 44%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Careplus $7 102%
Cigna $7 102%
Devoted Health $7 102%
Florida Complete Care $7 102%
Hospice Of Treasure Coast $7 102%
Hospice Treasure Coast $7 102%
Ndms Definitive Care $7 102%
Prominence Healthfirst $7 102%
Sunshine State $7 - $8 102%
Ultimate Health Plan $7 102%
United Behavioral Health $7 102%
Veterans Evaluation Services $7 102%
Wellmed $7 102%
Amerihealth Caritas $8 116%
Centurion $8 116%
Longevity Health Plan $8 116%
Solis Health Plan $10 145%
Oscar $13 189%
Simply Healthcare $16 232%
Freedom Health $84 - $156 1219%
Optimum $84 1219%
Simply Healthcare Plans $127 1843%
Corvel Corporation $155 2250%
Careworks (Rockport) $158 2293%
Prime Health $158 2293%
Health Sun Health Plan $208 3019%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals