CMS Price Transparency Data

Blood test, liver function panel

Facility: Larkin Community Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: $349
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Larkin Community Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $349. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$349

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
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Cash / Self-Pay: $349 (4272%)
Insurance Median: $9 (110%)
Cash: $349 (4272% of Medicare)
Ins. Median: $9 (110% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 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 37%
Corvel Mcaid Workers Comp $4 49%
Sunshine Behavioral $4 49%
Aetna $5 - $498 61%
Ambetter / Centene $5 61%
Community Care Phks Mcaid-All Other Plans $5 61%
Florida Comm Care Mcaid $5 61%
Humana $5 - $498 61%
Molina Exch Marketplace-All Other Plans $5 61%
UnitedHealthcare $5 - $11 61%
Blue Cross Blue Shield $8 - $172 98%
Florida Comm Care Mcare-All Other Plans $8 98%
Medicare (plans) $8 - $523 98%
Ops Maritime-All Plans $8 98%
Opus Hospice Ip Only-All Plans $8 98%
Preferred Care Partners Mcare-All Plans $8 98%
Clear Springs Hlth-All Plans $9 110%
Fci-All Plans $9 110%
Unicare Simply Mcare Ppo-All Plans $9 110%
Wellpath-All Plans $9 110%
Allianz (Azga)-All Plans $11 135%
Fdc-All Plans $41 502%
Cigna $124 1518%
Healthsun-All Plans $149 1824%
Star Network-All Plans $199 2436%
Jmh Health Plan Hmo/Ppo-All Other Plans $274 3354%
Global Excel-All Plans $299 3660%
Haa Preferred Partners-All Plans $299 3660%
Corvel Mcare Workers Comp-All Plans $448 5483%
Magellan Complete Care $448 5483%
Avmed-All Plans $498 6095%
Careplus Health-All Other Plans $498 6095%
Centurion-All Plans $498 6095%
Coventry Comml-All Plans $498 6095%
Doctors Healthcare-All Plans $498 6095%
First Med Hp Of Fl-All Plans $498 6095%
Florida Health Solution/Hmo-All Plans $498 6095%
Bright Health-All Other Plans $598 7319%
Oscar Health-All Plans $996 12191%

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