CMS Price Transparency Data

Culture, bacterial

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $210
  • Cash Discount Price: $299
  • vs. Medicare Baseline: 24.36x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Larkin Community Hospital Palm Springs Campus is $210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $299. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 24.36x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$299

Average discount available for prompt cash payment at this facility.

Insurance Median
$210

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.62

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.62 (100%)
Cash / Self-Pay: $299 (3469%)
Insurance Median: $210 (2436%)
Cash: $299 (3469% of Medicare)
Ins. Median: $210 (2436% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.62 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 2436% of the Medicare baseline (a markup of 2336%). 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 $4 - $9 46%
Florida Community Care Mcaid-All Plans $4 46%
Miami Childrens Hp Mcaid-All Plans $4 46%
Sunshine Mcaid $4 46%
Wellcare Mcaid $4 46%
Simply Healthcare Mcaid $5 58%
United Mcaid $5 58%
Medicare (plans) $8 - $596 93%
Ambetter / Centene $9 104%
Blue Cross Blue Shield $9 - $172 104%
Clear Springs Health - All Plans $9 104%
Fdc - All Plans $9 104%
Opus Hospice Ip Only - All Plans $9 104%
Unicare Simply Mcare Ppo - All Plans $9 104%
Bright Health Commercial - All Other Plans $10 116%
Ccs - All Plans $12 139%
Cigna $14 - $149 162%
Humana $16 - $596 186%
Wellcare Comm (Choice) - All Other Plans $27 - $298 313%
Leon Med Center Mcr Adv - All Plans $49 - $536 568%
Careplus Health - All Other Plans $54 - $596 626%
Centurion Doc - All Plans $54 - $596 626%
Doctors Healthcare - All Plans $54 - $596 626%
Florida Health Solution/Hmo - All Plans $54 - $596 626%
Preferred Care Partners Mcr - All Plans $54 - $596 626%
Simply Healthcare Mcr - All Other Plans $54 - $596 626%
UnitedHealthcare $54 - $596 626%
Naphcare - All Plans $62 - $685 719%
Oscar Health-All Plans $108 - $1,192 1253%

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