CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Englewood Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $1,057
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Englewood Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,057. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.
Cash / Self-Pay
$1,057

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: $1,057 (15341%)
Insurance Median: $8 (116%)
Cash: $1,057 (15341% 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 - $633 15%
Avmed $1 - $527 15%
Humana $1 - $591 15%
Molina $1 - $570 15%
Sunshine State Health Plan $1 - $538 15%
Behealthy America $2 - $823 29%
Evolutions Healthcare Systems $2 - $1,941 29%
Healthcare Sarasota $2 - $1,055 29%
Plotkin Health $2 - $1,055 29%
Prime Health Sheriff $2 - $1,055 29%
United $2 - $949 29%
Multiplan $3 - $1,793 44%
Caresource $6 87%
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%
Secur $7 102%
Sunshine State $7 102%
Ultimate Health Plan $7 102%
United Va Ccn $7 102%
Wellcare $7 102%
Wellmed $7 102%
Centurion $8 116%
Clear Spring Health $8 116%
Gold Kidney Of Florida $8 116%
Simply Healthcare $10 - $325 145%
Oscar $11 160%
Access 2 Healthcare Physicians Freedom Optimum Group Members $99 1437%
Corvel Corporation $151 2192%
Rockport Healthcare Group $151 2192%
Access 2 Healthcare Physicians Freedom Health $152 2206%
Access 2 Healthcare Physicians Optimum $152 2206%
Prime Health $154 2235%
Freedom Health Care $165 2395%
Optimum Healthcare $165 2395%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 Medical Blvd, Englewood, FL 34223
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals