CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Larkin Community Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,069
about 1.4× the $14,044 Medicare rate · typically $15,610–$22,925
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,205
About the fair price
about $864 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $20,069 This hospital $19,205 Cash price $23,152 Hospital's list price $33,074

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $9,376 Priciest $19,205

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $20,069 (about 1.4× the $14,044 Medicare rate). Larkin Community Hospital charges insurers about $19,205, or about $23,152 in cash — about the fair price. Located in South Miami, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,600 - $25,927 11%
Blue Cross Blue Shieldmajor $15,572 - $25,587 111%
Aetnamajor $7,508 - $23,046 53%
Cignamajor $4,000 - $14,417 28%
Humanamajor $7,508 - $19,205 53%
Ambetter (Centene) $19,205 137%
AvMed $33,074 236%
Bright Health $19,078 136%
Molina $17,285 123%
Oscar Health $46,599 332%
+ 30 smaller / regional plans $1,460 - $39,459
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals