CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Larkin Community Hospital

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $28
  • Cash Discount Price: $43
  • vs. Medicare Baseline: 5.47x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Larkin Community Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 5.47x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$43

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.12

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.12 (100%)
Cash / Self-Pay: $43 (840%)
Insurance Median: $28 (547%)
Cash: $43 (840% of Medicare)
Ins. Median: $28 (547% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.12 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 547% of the Medicare baseline (a markup of 447%). 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
Corvel Mcaid Workers Comp $2 39%
Fdc-All Plans $2 - $4 39%
Medicaid / KanCare $2 - $3 39%
Sunshine Behavioral $2 39%
Aetna $3 - $74 59%
Ambetter / Centene $3 59%
Community Care Phks Mcaid-All Other Plans $3 59%
Florida Comm Care Mcaid $3 59%
Humana $3 - $74 59%
Molina Exch Marketplace-All Other Plans $3 59%
UnitedHealthcare $3 - $7 59%
Blue Cross Blue Shield $5 - $172 98%
Clear Springs Hlth-All Plans $5 98%
Florida Comm Care Mcare-All Other Plans $5 98%
Medicare (plans) $5 - $78 98%
Ops Maritime-All Plans $5 98%
Opus Hospice Ip Only-All Plans $5 98%
Preferred Care Partners Mcare-All Plans $5 98%
Unicare Simply Mcare Ppo-All Plans $5 98%
Fci-All Plans $6 117%
Wellpath-All Plans $6 117%
Allianz (Azga)-All Plans $7 137%
Cigna $12 - $18 234%
Healthsun-All Plans $14 - $22 273%
Star Network-All Plans $19 - $30 371%
Jmh Health Plan Hmo/Ppo-All Other Plans $26 - $41 508%
Global Excel-All Plans $29 - $44 566%
Haa Preferred Partners-All Plans $29 - $44 566%
Corvel Mcare Workers Comp-All Plans $43 - $67 840%
Magellan Complete Care $43 - $67 840%
Avmed-All Plans $48 - $74 938%
Careplus Health-All Other Plans $48 - $74 938%
Centurion-All Plans $48 - $74 938%
Coventry Comml-All Plans $48 - $74 938%
Doctors Healthcare-All Plans $48 - $74 938%
First Med Hp Of Fl-All Plans $48 - $74 938%
Florida Health Solution/Hmo-All Plans $48 - $74 938%
Bright Health-All Other Plans $58 - $89 1133%
Oscar Health-All Plans $96 - $148 1875%

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