CMS Price Transparency Data

Blood test, magnesium

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83735
  • Insurance Median: $43
  • Cash Discount Price: $46
  • vs. Medicare Baseline: 6.42x Medicare
The contracted insurance negotiated median rate for a Blood test, magnesium at Larkin Community Hospital Palm Springs Campus is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $46. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 6.42x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$46

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
$6.7

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.7 (100%)
Cash / Self-Pay: $46 (687%)
Insurance Median: $43 (642%)
Cash: $46 (687% of Medicare)
Ins. Median: $43 (642% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.7 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 642% of the Medicare baseline (a markup of 542%). 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 - $7 45%
Cigna $3 - $46 45%
Florida Community Care Mcaid-All Plans $3 45%
Miami Childrens Hp Mcaid-All Plans $3 45%
Simply Healthcare Mcaid $3 45%
Sunshine Mcaid $3 45%
United Mcaid $3 45%
Wellcare Mcaid $3 45%
Humana $4 - $183 60%
Medicare (plans) $6 - $183 90%
Wellcare Comm (Choice) - All Other Plans $6 - $92 90%
Ambetter / Centene $7 104%
Blue Cross Blue Shield $7 - $172 104%
Clear Springs Health - All Plans $7 104%
Fdc - All Plans $7 104%
Opus Hospice Ip Only - All Plans $7 104%
Unicare Simply Mcare Ppo - All Plans $7 104%
Bright Health Commercial - All Other Plans $8 119%
Ccs - All Plans $9 134%
Leon Med Center Mcr Adv - All Plans $12 - $165 179%
Careplus Health - All Other Plans $13 - $183 194%
Centurion Doc - All Plans $13 - $183 194%
Doctors Healthcare - All Plans $13 - $183 194%
Florida Health Solution/Hmo - All Plans $13 - $183 194%
Preferred Care Partners Mcr - All Plans $13 - $183 194%
Simply Healthcare Mcr - All Other Plans $13 - $183 194%
UnitedHealthcare $13 - $183 194%
Naphcare - All Plans $15 - $210 224%
Oscar Health-All Plans $26 - $366 388%

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