Larkin Community Hospital Palm Springs Campus
1475 W 49Th St, Hialeah, FL 33012 · 90 Priced Procedures · 61% Patient Recommendation
Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.93× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Larkin Community Hospital Palm Springs Campus prices routine shoppable procedures near 1.6× Medicare (p50 0.99×) while skewing captive emergency, lab, and upper-quartile codes to 5.3× Medicare (p75 1.03×, +4% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
- Self-pay cash beats commercial insurance on 40% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 61% patient recommendation (66/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
- Captive ER (1.3×) & laboratory (2.4×) services average 3.31× higher multiples than routine shoppable care (1.6×)
- Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 14.7× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Larkin Community Hospital Palm Springs Campus
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Gallbladder removal (laparoscopic) CPT Code: 47562 | — | — |
| Breast lump removal CPT Code: 19120 | — | — |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $773 | 1.3× |
| Inguinal hernia repair CPT Code: 49505 | $651 | unverified |
| Hospital observation (per hour) HCPCS Code: G0378 | $546 | 6.3× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $544 | 3.6× |
| Rabies immune globulin HCPCS Code: 90375 | $521 | 1.6× |
| Blood transfusion CPT Code: 36430 | $510 | 1.0× |
| Cataract surgery with lens implant CPT Code: 66984 | $524 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $465 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $437 | 0.9× |
| X-ray, lower back CPT Code: 72110 | $314 | 2.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $336 | 1.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $318 | 1.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $336 | 1.0× |
| MRI, knee or other leg joint CPT Code: 73721 | $336 | 0.9× |
| X-ray, shoulder CPT Code: 73030 | $268 | 2.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $280 | 0.8× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $246 | 2.6× |
| X-ray, hand CPT Code: 73130 | $241 | 2.6× |
| New patient office visit (30-44 min) CPT Code: 99203 | $205 | 1.9× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $229 | 1.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $250 | 1.0× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $234 | 0.9× |
| Speech therapy (language evaluation) CPT Code: 92507 | $187 | 2.2× |
Audit a Bill or Quote at Larkin Community Hospital Palm Springs Campus (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Larkin Community Hospital Palm Springs Campus's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($6,109).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Larkin Community Hospital Palm Springs Campus 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (375 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Larkin Community Hospital Palm Springs Campus.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.