CMS Price Transparency Data

Blood test, potassium

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $18
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 3.78x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Larkin Community Hospital Palm Springs Campus is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 3.78x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$51

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Cash / Self-Pay: $51 (1071%)
Insurance Median: $18 (378%)
Cash: $51 (1071% of Medicare)
Ins. Median: $18 (378% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.76 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 378% of the Medicare baseline (a markup of 278%). 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 63%
Florida Community Care Mcaid-All Plans $3 63%
Miami Childrens Hp Mcaid-All Plans $3 63%
Simply Healthcare Mcaid $3 63%
Sunshine Mcaid $3 63%
United Mcaid $3 63%
Wellcare Mcaid $3 63%
Ambetter / Centene $5 105%
Blue Cross Blue Shield $5 - $172 105%
Clear Springs Health - All Plans $5 105%
Fdc - All Plans $5 105%
Medicare (plans) $5 - $73 105%
Opus Hospice Ip Only - All Plans $5 105%
Unicare Simply Mcare Ppo - All Plans $5 105%
Bright Health Commercial - All Other Plans $6 126%
Ccs - All Plans $6 126%
Cigna $18 378%
Humana $22 - $73 462%
Wellcare Comm (Choice) - All Other Plans $36 756%
Leon Med Center Mcr Adv - All Plans $66 1387%
Careplus Health - All Other Plans $73 1534%
Centurion Doc - All Plans $73 1534%
Doctors Healthcare - All Plans $73 1534%
Florida Health Solution/Hmo - All Plans $73 1534%
Preferred Care Partners Mcr - All Plans $73 1534%
Simply Healthcare Mcr - All Other Plans $73 1534%
UnitedHealthcare $73 1534%
Naphcare - All Plans $84 1765%
Oscar Health-All Plans $146 3067%

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