How many shoppable procedure prices are published for Larkin Community Hospital?

Larkin Community Hospital in South Miami, FL currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Larkin Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Larkin Community Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Larkin Community Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Larkin Community Hospital an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 118 Beds · urban Updated: 2026-07-07

Larkin Community Hospital

7031 Sw 62Nd Ave, South Miami, FL 33143 · 101 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Near Fair BaseRate Benchmark

1.01×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.01×) after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 35% of the Time

File Completeness60

Price Logic59

Peer Alignment69

Clean Billing93

Real Cash Discount100

Regional Benchmark Tier

1-Star CMS clinical quality rating paired with 1.01× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Larkin Community Hospital prices shoppable and inpatient services (1.5× to 1.2× Medicare, divergence 0.80×) in alignment with regional hospital peers (1.01× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#61 of 165 in FL · 36th State Percentile#1,320 of 3,385 in U.S. · 38th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.83× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 35% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 68% patient recommendation (66/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
Commercial insurance median sits at 1.09× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.01× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 9.0× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.80× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+7% Upper Tail

Q25 0.83× · Q50 1.09× · Q75 1.17×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.5× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

35% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 66/100Fair

Procedure Prices at Larkin Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$23,152	$19,205	$19,432	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$84,757	$18,869	$19,087	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$29,903	$6,174	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,506	$1,072	$6,109	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$5,640	$897	$1,021	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$1,526	$866	$855	1.0×
Rabies immune globulin HCPCS Code: `90375`	$1,037	$786	$322	2.4×
Inguinal hernia repair CPT Code: `49505`	$1,729	$729	$3,629	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,432	$571	$583	1.0×
Breast lump removal CPT Code: `19120`	$1,367	$574	$3,875	unverified
Cataract surgery with lens implant CPT Code: `66984`	$1,607	$586	$2,540	unverified
Blood transfusion CPT Code: `36430`	$574	$484	$498	1.0×
X-ray, shoulder CPT Code: `73030`	$961	$497	$92	unverified
X-ray, hand CPT Code: `73130`	$863	$497	$93	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$442	$442	$151	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$463	$409	$981	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,522	$364	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,312	$373	$511	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$4,161	$299	$369	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$294	$289	$185	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$628	$237	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,911	$249	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,172	$255	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$571	$249	$343	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$311	$207	$160	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$406	$191	$148	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$255	$195	$181	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,813	$207	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$531	$207	$258	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$192	$166	$123	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$229	$176	$166	1.1×
Family therapy session CPT Code: `90847`	$304	$176	$173	1.0×
Group therapy session CPT Code: `90853`	$753	$176	$100	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$261	$189	$86	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$177	$181	$87	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$136	$136	$86	1.6×
New patient office visit (30-44 min) CPT Code: `99203`	$336	$131	$110	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$406	$140	$123	1.1×
X-ray, foot CPT Code: `73630`	$728	$102	$92	1.1×
X-ray, lower back CPT Code: `72110`	$1,289	$123	$112	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$707	$102	$93	1.1×
X-ray, hip CPT Code: `73502`	$566	$102	$93	1.1×
X-ray, ankle CPT Code: `73610`	$550	$102	$93	1.1×
X-ray, pelvis CPT Code: `72170`	$271	$109	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$208	$91	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$260	$91	$93	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$511	$109	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$582	$109	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$420	$109	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$771	$109	$134	0.8×
CT scan, pelvis CPT Code: `72192`	$382	$109	$163	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$125	$132	$201	0.7×
CT scan, sinuses CPT Code: `70486`	$391	$109	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,462	$109	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$375	$109	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$373	$109	$169	0.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$162	$100	$35	unverified
Physical therapy (gait training) CPT Code: `97116`	$109	$100	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$208	$100	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$119	$100	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$122	$100	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$72	$91	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,105	$382	$347	1.1×
Blood test, calcium CPT Code: `82310`	$289	$289	$5	unverified
Culture, bacterial CPT Code: `87070`	$312	$312	$9	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$195	$195	$14	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$158	$158	$6	unverified
Drug screening test HCPCS Code: `G0480`	$127	$180	$116	unverified
Hepatitis C antibody test CPT Code: `86803`	$128	$128	$15	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$376	$77	$64	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$170	$75	$140	0.5×
Blood test, basic metabolic panel CPT Code: `80048`	$83	$83	$9	unverified
Blood test, amylase CPT Code: `82150`	$95	$95	$7	unverified
Blood test, lipase CPT Code: `83690`	$91	$91	$7	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$91	$91	$25	unverified
Blood test, vitamin D CPT Code: `82306`	$67	$56	$31	1.8×
Flu vaccine injection HCPCS Code: `G0008`	$65	$55	$48	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$40	$55	$49	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$51	$67	$38	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$124	$22	$19	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$28	$28	$49	0.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$43	$43	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$43	$43	$4	unverified
Blood test, magnesium CPT Code: `83735`	$47	$47	$7	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$42	$42	$4	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$151	$4	$3	1.3×
Blood test, sodium CPT Code: `84295`	$52	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$733	$13	$11	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$231	$16	$14	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$126	$18	$16	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$238	$9	$8	1.1×
Blood test, liver function panel CPT Code: `80076`	$349	$10	$9	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$160	$20	$18	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$57	$11	$10	1.1×
Culture, blood CPT Code: `87040`	$370	$12	$11	1.1×
Blood test, potassium CPT Code: `84132`	$52	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$105	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$127	$5	$5	1.0×
Behavioral health living support HCPCS Code: `H2019`	$13	$13	$34	0.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$71	$19	$56	0.3×
Blood antibody screen CPT Code: `86850`	$47	$12	$46	0.3×

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Larkin Community Hospital (Zero PHI Required)

CMS CCN: 100181

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $23,152

Insurer Median $19,205

1. Amount on Your Bill or Quote ($) Pre-filled with Larkin Community Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $9,922 Paying Cash

Self-Pay Cash Rate ($23,152) Beats Your Bill

Larkin Community Hospital's published 45 CFR § 180 self-pay cash rate is $23,152 (vs. $19,205 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$13,642 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($33,074) is $13,642 above the denoised Fair BaseRate ($19,432) and 2.4× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Larkin Community Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall1/5 Stars (1/5)

Safety Composite66/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait148 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (27 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Larkin Community Hospital.

Price Index: 0.85× regional baseline

Quality: 32/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Ambetter (Centene)

-59.5%

Molina

-54.3%

Blue Cross Blue Shield

+83.4%

Bright Health

+150.9%

Oscar Health

+385.1%

Median Household Income$68,694U.S. Census ACS

Local Uninsured Share14.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 74/100 · Corroborated CMS CCN 100181

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100181) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-07-07 · 148.23 MB

Validated Rate Rows8,059 (CMS v3.0.0)

File Integrity DigestVerified · CCN 100181

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy