CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida Palms West Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $156
  • Cash Discount Price: $1,321
  • vs. Medicare Baseline: 22.64x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida Palms West Hospital is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,321. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 22.64x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.
Cash / Self-Pay
$1,321

Average discount available for prompt cash payment at this facility.

Insurance Median
$156

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: $1,321 (19173%)
Insurance Median: $156 (2264%)
Cash: $1,321 (19173% of Medicare)
Ins. Median: $156 (2264% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2264% of the Medicare baseline (a markup of 2164%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $7 - $396 102%
Align $7 102%
American Health Plan $7 102%
Blue Cross Blue Shield $7 102%
Careplus Sfl $7 102%
Cigna $7 102%
Devoted Health $7 102%
Florida Complete Care $7 102%
Humana $7 - $449 102%
Ndms Definitive Care $7 102%
Oscar $7 - $10 102%
Prominence Healthfirst $7 102%
Sunshine State $7 - $8 102%
United $7 - $594 102%
Veterans Evaluation Services $7 102%
Wellmed $7 102%
Amerihealth Caritas $8 - $10 116%
Centurion $8 116%
Doctors Healthcare Plan $8 116%
Gold Kidney $8 116%
Longevity Health Plan $8 116%
Simply Healthcare $9 131%
Solis Health Plan $10 145%
Freedom Health $114 - $211 1655%
Optimum $114 1655%
Corvel Corporation $156 2264%
Careworks (Rockport) $160 2322%
Prime Health $160 2322%
Avmed $172 - $660 2496%
Simply Healthcare Plans $172 2496%
Molina $251 - $357 3643%
Health Sun Health Plan $281 4078%
Aids Healthcare $291 - $1,585 4224%
Mmm Of Fl (Health Advantage Plan) $304 4412%
United Ppo $313 4543%
Sunshine State Health Plan $343 4978%
Healthy Palm Beaches $550 7983%
Health Care District $660 9579%
Palm Beach Juvenile Correction $660 9579%
Plotkin Health $660 9579%
Prime Health Sherriff $660 9579%
Medica Healthcare $766 11118%
Multiplan $991 - $1,123 14383%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13001 Southern Blvd, Loxahatchee, FL 33470
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals