AmeriHealth Caritas Lab Work Rates in Miami-Fort Lauderdale-West Palm Beach

Published AmeriHealth Caritas negotiated rates for Lab Work at 24 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$11.65

HCA Florida Aventura Hospital

all plan types

Highest Rate

$635.60

Jackson West Medical Center

all plan types

Rate Spread

55x

across all plan types

Hospitals

24

with AmeriHealth Caritas data

AmeriHealth Caritas lab-work rates across 24 Miami-Fort Lauderdale-West Palm Beach hospitals span a 50x gap, from $10.56 at Jackson Memorial Hospital to $530.10 at West Kendall Baptist Hospital. The median negotiated rate is $147.85. Lower figures can reflect plan type, such as Medicaid or Medicare products, rather than commercial coverage.

Why the range is so wide: AmeriHealth Caritas negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

AmeriHealth Caritas Lab Work Rates by Hospital

Hospital Lowest AmeriHealth Caritas Rate
HCA Florida Aventura Hospital $11.65
HCA Florida JFK Hospital $11.65
HCA Florida JFK North Hospital $11.65
HCA Florida Kendall Hospital $11.65
HCA Florida Mercy Hospital $11.65
HCA Florida Northwest Hospital $11.65
HCA Florida Palms West Hospital $11.65
HCA Florida University Hospital $11.65
HCA Florida Westside Hospital $11.65
HCA Florida Woodmont Hospital $11.65
Baptist Hospital of Miami $12.15
Memorial Hospital Miramar $56
Memorial Hospital Pembroke $56
Memorial Hospital West $56
Memorial Regional Hospital $56
South Miami Hospital $97.65
Bethesda Hospital East $175.05
Doctors Hospital $175.05
Homestead Hospital $175.05
West Kendall Baptist Hospital $175.05
Jackson Memorial Hospital $292.60
Jackson North Medical Center $292.60
Jackson South Medical Center $292.60
Jackson West Medical Center $292.60

Median of all 148 published AmeriHealth Caritas rates for Lab Work at these hospitals: $175.05

Rates shown are AmeriHealth Caritas's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all AmeriHealth Caritas plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Reading AmeriHealth Caritas Lab Work Rates in Miami-Fort Lauderdale-West Palm Beach

Where Miami lab work rates start for AmeriHealth Caritas. The lowest published rate is $10.56, listed at Jackson Memorial Hospital, Jackson North Medical Center and Jackson South Medical Center. At the other end, West Kendall Baptist Hospital, Bethesda Hospital East and Doctors Hospital list a lowest rate of $175.05, and West Kendall Baptist Hospital also shows the highest rate, $530.10.

How far the Miami-Fort Lauderdale lab work spread runs. The page shows a 50x spread between the lowest and highest rates, with a median of $147.85 across all 144 published rates at 24 hospitals. The plan types beside the lowest rates read as exchange plans (for example HIX and QHP), not Medicaid, CHIP or Medicare Advantage, but a plan label is not always spelled out clearly, so the plan behind a rate is not always stated.

What to ask about AmeriHealth Caritas lab work in Miami. Members can:

  • Ask AmeriHealth Caritas for their own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask the insurer whether that hospital is in network for their plan.
  • Ask the hospital for an estimate.

These are facility rates, and professional fees are billed separately.

Written from the rates in the table above. General information, not medical or insurance advice.

Understanding AmeriHealth Caritas Negotiated Rates

A negotiated rate is the price AmeriHealth Caritas has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all AmeriHealth Caritas plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for Lab Work in Miami-Fort Lauderdale-West Palm Beach

View all Lab Work prices in Miami-Fort Lauderdale-West Palm Beach (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost AmeriHealth Caritas Lab Work in Miami-Fort Lauderdale-West Palm Beach?

The lowest AmeriHealth Caritas negotiated rate for Lab Work in Miami-Fort Lauderdale-West Palm Beach is $11.65 at HCA Florida Aventura Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $635.60 at Jackson West Medical Center, a 55x difference. Commercial plan rates typically fall between these extremes.

Is the AmeriHealth Caritas negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what AmeriHealth Caritas has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact AmeriHealth Caritas for a pre-service cost estimate specific to your plan.

How many Miami-Fort Lauderdale-West Palm Beach hospitals have published AmeriHealth Caritas rates?

24 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published AmeriHealth Caritas negotiated rates for Lab Work in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with AmeriHealth Caritas directly.

Can I get lab work done at a cheaper location with AmeriHealth Caritas?

Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your AmeriHealth Caritas plan covers independent labs like Quest or Labcorp, you may pay significantly less out of pocket. The rates on this page reflect hospital-based pricing only.

We are not affiliated with AmeriHealth Caritas or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact AmeriHealth Caritas or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.