HealthSun Health Plans Lab Work Rates in Miami-Fort Lauderdale-West Palm Beach
Published HealthSun Health Plans negotiated rates for Lab Work at 19 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$10.87
Holy Cross Hospital
all plan types
Highest Rate
$895.88
HCA Florida JFK North Hospital
all plan types
Rate Spread
82x
across all plan types
Hospitals
19
with HealthSun Health Plans data
HealthSun Health Plans negotiated rates for lab work in the Miami-Fort Lauderdale-West Palm Beach area span an 82x range, from $10.87 at Holy Cross Hospital to $895.88 at HCA Florida JFK North Hospital. Across 15 hospitals, the median rate is $262.50. The lowest rate falls under a Medicare Advantage plan, and rates like these often reflect government-program pricing rather than commercial terms.
HealthSun Health Plans Lab Work Rates by Hospital
| Hospital | Lowest HealthSun Health Plans Rate |
|---|---|
| Holy Cross Hospital | $10.87 |
| Memorial Hospital Miramar | $12.04 |
| Memorial Hospital Pembroke | $12.04 |
| Memorial Hospital West | $12.04 |
| Memorial Regional Hospital | $12.04 |
| HCA Florida Kendall Hospital | $113.10 |
| Jackson Memorial Hospital | $181.83 |
| Jackson North Medical Center | $181.83 |
| Jackson South Medical Center | $181.83 |
| Jackson West Medical Center | $181.83 |
| HCA Florida Aventura Hospital | $349.96 |
| HCA Florida Mercy Hospital | $497.14 |
| HCA Florida University Hospital | $512.90 |
| HCA Florida Northwest Hospital | $523.34 |
| HCA Florida Westside Hospital | $696.30 |
| HCA Florida Woodmont Hospital | $802.64 |
| HCA Florida Palms West Hospital | $887.78 |
| HCA Florida JFK Hospital | $895.88 |
| HCA Florida JFK North Hospital | $895.88 |
Median of all 63 published HealthSun Health Plans rates for Lab Work at these hospitals: $262.50
Rates shown are HealthSun Health Plans's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all HealthSun Health Plans 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 HealthSun Health Plans Lab Work Rates in Miami-Fort Lauderdale-West Palm Beach
Where HealthSun lab work rates sit lowest and highest in Miami. The lowest published rate is $10.87 at Holy Cross Hospital, followed by $12.04 at Memorial Hospital Miramar and Memorial Hospital Pembroke. At the other end, HCA Florida JFK North Hospital and HCA Florida JFK Hospital both show $895.88, and HCA Florida Palms West Hospital shows $887.78.
How wide the HealthSun lab work spread runs. Across 15 hospitals, the page shows a spread of 82x between the lowest and highest rates. The median of all 47 published HealthSun Health Plans rates for this procedure is $262.50. The plan types beside the lowest rates are HEALTHSUN MEDICARE ADVANTAGE and Medicare, so the low end likely reflects those plans rather than commercial plans. A rate in this table may not belong to the plan you hold.
What to ask HealthSun and the hospital about lab work. These are facility rates, and professional fees are billed separately.
- Ask HealthSun for your own plan's negotiated rate and estimated cost share for lab work at the hospital you have in mind.
- Ask HealthSun whether that hospital is in network for your plan.
- Ask the hospital for an estimate before you go.
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding HealthSun Health Plans Negotiated Rates
A negotiated rate is the price HealthSun Health Plans 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 HealthSun Health Plans 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
Frequently Asked Questions
Where is the lowest-cost HealthSun Health Plans Lab Work in Miami-Fort Lauderdale-West Palm Beach?
The lowest HealthSun Health Plans negotiated rate for Lab Work in Miami-Fort Lauderdale-West Palm Beach is $10.87 at Holy Cross Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $895.88 at HCA Florida JFK North Hospital, an 82x difference. Commercial plan rates typically fall between these extremes.
Is the HealthSun Health Plans negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what HealthSun Health Plans 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 HealthSun Health Plans for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published HealthSun Health Plans rates?
19 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published HealthSun Health Plans 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 HealthSun Health Plans directly.
Can I get lab work done at a cheaper location with HealthSun Health Plans?
Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your HealthSun Health Plans 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 HealthSun Health Plans 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 HealthSun Health Plans or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.