CMS Price Transparency Data

Culture, blood

Facility: Larkin Community Hospital

Billing Code: 87040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87040
  • Insurance Median: $12
  • Cash Discount Price: $370
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Culture, blood at Larkin Community Hospital is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $370. Compared to the federal Medicare reimbursement reference rate of $10.32, this hospital’s rate is 1.16x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$370

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
$10.32

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.32 (100%)
Cash / Self-Pay: $370 (3585%)
Insurance Median: $12 (116%)
Cash: $370 (3585% of Medicare)
Ins. Median: $12 (116% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $10.32 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 - $4 29%
Aetna $4 - $528 39%
Ambetter / Centene $4 39%
Community Care Phks Mcaid-All Other Plans $4 39%
Corvel Mcaid Workers Comp $4 39%
Florida Comm Care Mcaid $4 39%
Humana $4 - $528 39%
Molina Exch Marketplace-All Other Plans $4 39%
Sunshine Behavioral $4 39%
UnitedHealthcare $4 - $14 39%
Blue Cross Blue Shield $10 - $172 97%
Florida Comm Care Mcare-All Other Plans $10 97%
Medicare (plans) $10 - $554 97%
Ops Maritime-All Plans $10 97%
Opus Hospice Ip Only-All Plans $10 97%
Preferred Care Partners Mcare-All Plans $10 97%
Clear Springs Hlth-All Plans $11 107%
Unicare Simply Mcare Ppo-All Plans $11 107%
Wellpath-All Plans $11 107%
Fci-All Plans $12 116%
Allianz (Azga)-All Plans $13 126%
Fdc-All Plans $54 523%
Cigna $132 1279%
Healthsun-All Plans $158 1531%
Star Network-All Plans $211 2045%
Jmh Health Plan Hmo/Ppo-All Other Plans $290 2810%
Global Excel-All Plans $317 3072%
Haa Preferred Partners-All Plans $317 3072%
Corvel Mcare Workers Comp-All Plans $475 4603%
Magellan Complete Care $475 4603%
Avmed-All Plans $528 5116%
Careplus Health-All Other Plans $528 5116%
Centurion-All Plans $528 5116%
Coventry Comml-All Plans $528 5116%
Doctors Healthcare-All Plans $528 5116%
First Med Hp Of Fl-All Plans $528 5116%
Florida Health Solution/Hmo-All Plans $528 5116%
Bright Health-All Other Plans $634 6143%
Oscar Health-All Plans $1,056 10233%

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