CMS Price Transparency Data

Blood test, lipase

Facility: Jay Hospital

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83690
  • Insurance Median: $43
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 6.24x Medicare
The contracted insurance negotiated median rate for a Blood test, lipase at Jay Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 6.24x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.
Cash / Self-Pay
$29

Average discount available for prompt cash payment at this facility.

Insurance Median
$43

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: $29 (421%)
Insurance Median: $43 (624%)
Cash: $29 (421% of Medicare)
Ins. Median: $43 (624% 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 624% of the Medicare baseline (a markup of 524%). 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
UnitedHealthcare $1 - $43 15%
Wellcare $2 - $43 29%
Aetna $3 - $93 44%
Cha Health Plan $3 44%
Humana $3 - $43 44%
Simply Healthcare Healthy Kids $3 44%
Staywell $3 44%
Sunshine Health $3 44%
Fl Community Care Ltc $5 73%
Medicare (plans) $7 102%
Fl Blue $14 - $312 203%
Bc Fl $43 624%
Hospice Emerald Coast $97 1408%
Hospice Regency $97 1408%
Hospice Vitas $97 1408%
Cigna $108 - $194 1567%
Private Healthcare $126 1829%
Wc Corvel $134 - $184 1945%
First Health $138 2003%
Multiplan $173 2511%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14114 Alabama St, Jay, FL 32565
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals