CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Larkin Community Hospital

Billing Code: 95810 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 95810
  • Insurance Median: $1,021
  • Cash Discount Price: $5,640
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Larkin Community Hospital is $1,021. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,640. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.16x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$5,640

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,021

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$877.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $877.34 (100%)
Cash / Self-Pay: $5,640 (643%)
Insurance Median: $1,021 (116%)
Cash: $5,640 (643% of Medicare)
Ins. Median: $1,021 (116% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $877.34 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
UnitedHealthcare $100 - $1,379 11%
Medicaid / KanCare $334 - $502 38%
Corvel Mcaid Workers Comp $430 49%
Sunshine Behavioral $430 49%
Aetna $478 - $8,057 54%
Ambetter / Centene $478 54%
Community Care Phks Mcaid-All Other Plans $478 54%
Florida Comm Care Mcaid $478 54%
Humana $478 - $8,057 54%
Magellan Complete Care $478 54%
Molina Exch Marketplace-All Other Plans $478 54%
Cigna $800 91%
Blue Cross Blue Shield $970 111%
Florida Comm Care Mcare-All Other Plans $1,021 116%
Medicare (plans) $1,021 - $8,460 116%
Ops Maritime-All Plans $1,021 116%
Opus Hospice Ip Only-All Plans $1,021 116%
Preferred Care Partners Mcare-All Plans $1,021 116%
Clear Springs Hlth-All Plans $1,072 122%
Unicare Simply Mcare Ppo-All Plans $1,072 122%
Wellpath-All Plans $1,123 128%
Fci-All Plans $1,174 134%
Allianz (Azga)-All Plans $1,328 151%
Healthsun-All Plans $1,800 205%
Jmh Health Plan Hmo/Ppo-All Other Plans $2,500 285%
Star Network-All Plans $3,223 367%
Global Excel-All Plans $4,834 551%
Haa Preferred Partners-All Plans $4,834 551%
Corvel Mcare Workers Comp-All Plans $7,251 826%
Avmed-All Plans $8,057 918%
Careplus Health-All Other Plans $8,057 918%
Centurion-All Plans $8,057 918%
Coventry Comml-All Plans $8,057 918%
Doctors Healthcare-All Plans $8,057 918%
First Med Hp Of Fl-All Plans $8,057 918%
Florida Health Solution/Hmo-All Plans $8,057 918%
Bright Health-All Other Plans $9,668 1102%
Oscar Health-All Plans $16,114 1837%

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