CMS Price Transparency Data

Blood test, lipase

Facility: Gulf Breeze Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Gulf Breeze Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 1110 Gulf Breeze Pkwy, Gulf Breeze, FL.
Cash / Self-Pay
$21

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: $21 (305%)
Insurance Median: $8 (116%)
Cash: $21 (305% 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
UnitedHealthcare $1 - $7 15%
Pensacola $2 - $41 29%
Aetna $3 - $199 44%
Cha Health Plan $3 44%
Fl Community Care Ltc $3 44%
Humana $3 - $7 44%
Simply Healthcare Healthy Kids $3 44%
Sunshine Health $3 44%
Wellcare $3 - $7 44%
Hospice Regency $4 - $82 58%
Cigna $6 - $273 87%
Hospice Emerald Coast $6 - $136 87%
Hospice Covenant $7 102%
Medicare (plans) $7 102%
First Health $8 - $190 116%
Private Healthcare $8 - $177 116%
Uwf Athletes $8 - $177 116%
Choicecare $9 - $205 131%
Multiplan $11 - $243 160%
Wc Corvel $11 - $259 160%
Fl Blue $12 - $333 174%
Bc Fl $208 3019%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1110 Gulf Breeze Pkwy, Gulf Breeze, FL 32561
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals