CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $48
  • Cash Discount Price: $42
  • vs. Medicare Baseline: 9.38x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Larkin Community Hospital Palm Springs Campus is $48. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 9.38x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$42

Average discount available for prompt cash payment at this facility.

Insurance Median
$48

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.12

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.12 (100%)
Cash / Self-Pay: $42 (820%)
Insurance Median: $48 (938%)
Cash: $42 (820% of Medicare)
Ins. Median: $48 (938% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.12 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 938% of the Medicare baseline (a markup of 838%). 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 $3 - $5 59%
Florida Community Care Mcaid-All Plans $3 59%
Miami Childrens Hp Mcaid-All Plans $3 59%
Simply Healthcare Mcaid $3 59%
Sunshine Mcaid $3 59%
United Mcaid $3 59%
Wellcare Mcaid $3 59%
Ambetter / Centene $5 98%
Blue Cross Blue Shield $5 - $172 98%
Clear Springs Health - All Plans $5 98%
Fdc - All Plans $5 98%
Medicare (plans) $5 - $73 98%
Opus Hospice Ip Only - All Plans $5 98%
Unicare Simply Mcare Ppo - All Plans $5 98%
Bright Health Commercial - All Other Plans $6 117%
Ccs - All Plans $7 137%
Cigna $12 - $18 234%
Humana $14 - $73 273%
Wellcare Comm (Choice) - All Other Plans $24 - $36 469%
Leon Med Center Mcr Adv - All Plans $43 - $66 840%
Careplus Health - All Other Plans $48 - $73 938%
Centurion Doc - All Plans $48 - $73 938%
Doctors Healthcare - All Plans $48 - $73 938%
Florida Health Solution/Hmo - All Plans $48 - $73 938%
Preferred Care Partners Mcr - All Plans $48 - $73 938%
Simply Healthcare Mcr - All Other Plans $48 - $73 938%
UnitedHealthcare $48 - $73 938%
Naphcare - All Plans $55 - $84 1074%
Oscar Health-All Plans $96 - $146 1875%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals