CMS Price Transparency Data

Blood test, lipase

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $12
  • Cash Discount Price: $7
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Physicians Regional Medical Center - Pine Ridge is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.74x the Medicare baseline. Located in 6101 Pine Ridge Road, Naples, FL.
Cash / Self-Pay
$7

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

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: $7 (102%)
Insurance Median: $12 (174%)
Cash: $7 (102% of Medicare)
Ins. Median: $12 (174% 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
Amerigroup $3 44%
Childrens Medical Services $3 44%
Humana $3 - $7 44%
Integral Health $3 44%
Magellan $3 44%
Medicaid / KanCare $3 44%
Prestige Health $3 44%
Simply Healthcare Plan $3 44%
UnitedHealthcare $3 - $73 44%
Wellcare $3 44%
Self Pay $5 - $73 73%
Aetna $6 - $201 87%
Blue Cross Blue Shield $7 - $303 102%
Cigna $7 102%
Freedom Optimum $7 102%
Medicare (plans) $7 102%
Node Champva $7 102%
Node Non Par Hospice Agree $7 102%
Node Va $7 102%
Node Wellcare Mcr Adv $7 102%
Tricare $7 102%
Veterans Eval Services $7 102%
Simply Healthcare $8 - $94 116%
Node Us Dept Of Labor $9 131%
Avmed $10 - $115 145%
Occunet $11 - $17 160%
Florida Workers Compensation $12 174%
Prime Health Work Comp Fl $12 174%
Rockport $12 174%
Florida State Auto Insurance $14 203%
Ambetter / Centene $18 261%
Community Health Partners $35 508%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6101 Pine Ridge Road, Naples, FL 34119
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals