CMS Price Transparency Data

Blood test, hemoglobin

Facility: Larkin Community Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85018
  • Insurance Median: $3
  • Cash Discount Price: $105
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Blood test, hemoglobin at Larkin Community Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$105

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2.37

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2.37 (100%)
Cash / Self-Pay: $105 (4430%)
Insurance Median: $3 (127%)
Cash: $105 (4430% of Medicare)
Ins. Median: $3 (127% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2.37 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
Blue Cross Blue Shield $2 - $172 84%
Clear Springs Hlth-All Plans $2 84%
Florida Comm Care Mcare-All Other Plans $2 84%
Medicaid / KanCare $2 - $3 84%
Medicare (plans) $2 - $158 84%
Ops Maritime-All Plans $2 84%
Opus Hospice Ip Only-All Plans $2 84%
Preferred Care Partners Mcare-All Plans $2 84%
Unicare Simply Mcare Ppo-All Plans $2 84%
UnitedHealthcare $2 - $3 84%
Aetna $3 - $150 127%
Allianz (Azga)-All Plans $3 127%
Ambetter / Centene $3 127%
Community Care Phks Mcaid-All Other Plans $3 127%
Corvel Mcaid Workers Comp $3 127%
Fci-All Plans $3 127%
Florida Comm Care Mcaid $3 127%
Humana $3 - $150 127%
Molina Exch Marketplace-All Other Plans $3 127%
Sunshine Behavioral $3 127%
Wellpath-All Plans $3 127%
Fdc-All Plans $4 169%
Cigna $38 1603%
Healthsun-All Plans $45 1899%
Star Network-All Plans $60 2532%
Jmh Health Plan Hmo/Ppo-All Other Plans $82 3460%
Global Excel-All Plans $90 3797%
Haa Preferred Partners-All Plans $90 3797%
Corvel Mcare Workers Comp-All Plans $135 5696%
Magellan Complete Care $135 5696%
Avmed-All Plans $150 6329%
Careplus Health-All Other Plans $150 6329%
Centurion-All Plans $150 6329%
Coventry Comml-All Plans $150 6329%
Doctors Healthcare-All Plans $150 6329%
First Med Hp Of Fl-All Plans $150 6329%
Florida Health Solution/Hmo-All Plans $150 6329%
Bright Health-All Other Plans $180 7595%
Oscar Health-All Plans $300 12658%

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