CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Larkin Community Hospital

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $9
  • Cash Discount Price: $238
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Larkin Community Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.16x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$238

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$7.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $7.77 (100%)
Cash / Self-Pay: $238 (3063%)
Insurance Median: $9 (116%)
Cash: $238 (3063% of Medicare)
Ins. Median: $9 (116% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $7.77 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.

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
Medicaid / KanCare $2 - $3 26%
Aetna $3 - $340 39%
Ambetter / Centene $3 39%
Community Care Phks Mcaid-All Other Plans $3 39%
Corvel Mcaid Workers Comp $3 39%
Florida Comm Care Mcaid $3 39%
Humana $3 - $340 39%
Molina Exch Marketplace-All Other Plans $3 39%
Sunshine Behavioral $3 39%
UnitedHealthcare $3 - $10 39%
Blue Cross Blue Shield $7 - $172 90%
Clear Springs Hlth-All Plans $8 103%
Florida Comm Care Mcare-All Other Plans $8 103%
Medicare (plans) $8 - $357 103%
Ops Maritime-All Plans $8 103%
Opus Hospice Ip Only-All Plans $8 103%
Preferred Care Partners Mcare-All Plans $8 103%
Unicare Simply Mcare Ppo-All Plans $8 103%
Fci-All Plans $9 116%
Wellpath-All Plans $9 116%
Allianz (Azga)-All Plans $10 129%
Fdc-All Plans $26 335%
Cigna $85 1094%
Healthsun-All Plans $102 1313%
Star Network-All Plans $136 1750%
Jmh Health Plan Hmo/Ppo-All Other Plans $187 2407%
Global Excel-All Plans $204 2625%
Haa Preferred Partners-All Plans $204 2625%
Corvel Mcare Workers Comp-All Plans $306 3938%
Magellan Complete Care $306 3938%
Avmed-All Plans $340 4376%
Careplus Health-All Other Plans $340 4376%
Centurion-All Plans $340 4376%
Coventry Comml-All Plans $340 4376%
Doctors Healthcare-All Plans $340 4376%
First Med Hp Of Fl-All Plans $340 4376%
Florida Health Solution/Hmo-All Plans $340 4376%
Bright Health-All Other Plans $408 5251%
Oscar Health-All Plans $680 8752%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals