CMS Price Transparency Data

Blood test, lipase

Facility: HCA Florida University Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $10
Cash Discount Price: $1,188
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at HCA Florida University Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,188. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 1.45x the Medicare baseline. Located in 3476 S University Dr., Davie, FL.

Cash / Self-Pay

$1,188

Average discount available for prompt cash payment at this facility.

Insurance Median

$10

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: $1,188 (17242%)

Insurance Median: $10 (145%)

Cash: $1,188 (17242% of Medicare)

Ins. Median: $10 (145% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $356	102%
Align	$7	102%
American Health Plan	$7	102%
Blue Cross Blue Shield	$7	102%
Cigna	$7	102%
Devoted Health	$7	102%
Florida Complete Care	$7	102%
Humana	$7 - $404	102%
Ndms Definitive Care	$7	102%
Oscar	$7 - $10	102%
Prominence Healthfirst	$7	102%
Sunshine State	$7 - $8	102%
United	$7 - $535	102%
Wellmed	$7	102%
Amerihealth Caritas	$8 - $10	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	$102	1480%
Avmed	$154 - $594	2235%
Simply Healthcare Plans	$154	2235%
Careworks (Rockport)	$167	2424%
Prime Health	$167	2424%
Molina	$226	3280%
Health Sun Health Plan	$253	3672%
United Ppo	$282	4093%
Sunshine State Health Plan	$314	4557%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,188.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida University Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83690.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.