CMS Price Transparency Data

Blood test, lipase

Facility: Memorial Hospital West

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $8
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Memorial Hospital West is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.16x the Medicare baseline. Located in 703 N Flamingo Rd, Pembroke Pines, FL.
Cash / Self-Pay
$15

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: $15 (218%)
Insurance Median: $8 (116%)
Cash: $15 (218% 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 - $345 15%
Amerihealth Caritas $1 - $139 15%
Avmed $1 - $267 15%
Cigna $1 - $239 15%
Community Care Plan $1 - $147 15%
Molina $1 - $156 15%
Employers Health Network $2 - $277 29%
Health Value Management $2 - $303 29%
UnitedHealthcare $2 - $347 29%
Sunshine $3 - $364 44%
Allianz $4 - $564 58%
Axis $4 - $564 58%
Desjardins Financial Security Life Assurance Company $4 - $564 58%
Dimension Health $4 - $585 58%
Emerging Therapy Solutions $4 - $520 58%
Global Health Claims $4 - $737 58%
Global Medical Management $4 - $564 58%
Global Reach Health $4 - $564 58%
Health Sun $4 - $650 58%
National Healthcare Solutions $4 - $564 58%
Plotkin $4 - $564 58%
Quality Health Management $4 - $564 58%
Quebec Inc $4 - $564 58%
Star Healthcare Network $4 - $564 58%
World Medical Care $4 - $564 58%
Worldwide Managed Care Partners $4 - $564 58%
Worldwide Medical Assurance $4 - $564 58%
Gallagher Bassett $5 - $694 73%
Florida Community Care $7 102%
Humana $7 102%
Wellcare $7 - $8 102%
Align Senior Care $8 116%
Florida Pace Centers $8 116%
Solis Health Plan $8 116%
Longevity $9 131%
Corvel $164 2380%
Employers Choice Network $164 2380%
First Health $164 2380%
Prime Health Services $352 5109%
Broward County $718 - $2,726 10421%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 N Flamingo Rd, Pembroke Pines, FL 33028
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals