CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: Larkin Community Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $12
  • Cash Discount Price: $733
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at Larkin Community Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $733. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.14x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$733

Average discount available for prompt cash payment at this facility.

Insurance Median
$12

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$10.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.56 (100%)
Cash / Self-Pay: $733 (6941%)
Insurance Median: $12 (114%)
Cash: $733 (6941% of Medicare)
Ins. Median: $12 (114% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $10.56 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 $3 - $5 28%
Corvel Mcaid Workers Comp $4 38%
Sunshine Behavioral $4 38%
Aetna $5 - $1,047 47%
Ambetter / Centene $5 47%
Community Care Phks Mcaid-All Other Plans $5 47%
Florida Comm Care Mcaid $5 47%
Humana $5 - $1,047 47%
Molina Exch Marketplace-All Other Plans $5 47%
UnitedHealthcare $5 - $14 47%
Blue Cross Blue Shield $10 - $172 95%
Clear Springs Hlth-All Plans $11 104%
Florida Comm Care Mcare-All Other Plans $11 104%
Medicare (plans) $11 - $1,099 104%
Ops Maritime-All Plans $11 104%
Opus Hospice Ip Only-All Plans $11 104%
Preferred Care Partners Mcare-All Plans $11 104%
Unicare Simply Mcare Ppo-All Plans $11 104%
Fci-All Plans $12 114%
Wellpath-All Plans $12 114%
Allianz (Azga)-All Plans $14 133%
Fdc-All Plans $111 1051%
Cigna $262 2481%
Healthsun-All Plans $314 2973%
Star Network-All Plans $419 3968%
Jmh Health Plan Hmo/Ppo-All Other Plans $576 5455%
Global Excel-All Plans $628 5947%
Haa Preferred Partners-All Plans $628 5947%
Corvel Mcare Workers Comp-All Plans $942 8920%
Magellan Complete Care $942 8920%
Avmed-All Plans $1,047 9915%
Careplus Health-All Other Plans $1,047 9915%
Centurion-All Plans $1,047 9915%
Coventry Comml-All Plans $1,047 9915%
Doctors Healthcare-All Plans $1,047 9915%
First Med Hp Of Fl-All Plans $1,047 9915%
Florida Health Solution/Hmo-All Plans $1,047 9915%
Bright Health-All Other Plans $1,256 11894%
Oscar Health-All Plans $2,094 19830%

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