Optimum HealthCare Lab Work Rates in Miami-Fort Lauderdale-West Palm Beach
Published Optimum HealthCare negotiated rates for Lab Work at 9 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$45.67
HCA Florida Kendall Hospital
all plan types
Highest Rate
$361.72
HCA Florida JFK North Hospital
all plan types
Rate Spread
8x
across all plan types
Hospitals
9
with Optimum HealthCare data
Optimum HealthCare's negotiated lab-work rates across nine Miami-Fort Lauderdale-West Palm Beach hospitals vary roughly 8x, from $45.67 at HCA Florida Kendall Hospital (MGMCR) to $361.72 at HCA Florida JFK North Hospital. The median rate is $211.30. The lowest figures often reflect Medicaid or Medicare plan types rather than commercial coverage.
Optimum HealthCare Lab Work Rates by Hospital
| Hospital | Lowest Optimum HealthCare Rate |
|---|---|
| HCA Florida Kendall Hospital | $45.67 |
| HCA Florida Aventura Hospital | $141.30 |
| HCA Florida Mercy Hospital | $200.72 |
| HCA Florida Northwest Hospital | $211.30 |
| HCA Florida Westside Hospital | $281.13 |
| HCA Florida Woodmont Hospital | $324.07 |
| HCA Florida Palms West Hospital | $358.45 |
| HCA Florida JFK Hospital | $361.72 |
| HCA Florida JFK North Hospital | $361.72 |
Median of all 17 published Optimum HealthCare rates for Lab Work at these hospitals: $211.30
Rates shown are Optimum HealthCare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Optimum HealthCare 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 Optimum HealthCare Lab Work Rates in Miami-Fort Lauderdale-West Palm Beach
Where Miami lab work rates sit for Optimum HealthCare. The lowest published rate is $45.67 at HCA Florida Kendall Hospital, followed by $141.30 at HCA Florida Aventura Hospital and $200.72 at HCA Florida Mercy Hospital. At the other end, HCA Florida JFK North Hospital and HCA Florida JFK Hospital both show $361.72, and HCA Florida Palms West Hospital shows $358.45.
How far lab work rates stretch across South Florida. The page shows a spread of 8x between the lowest and highest rates, and the median of all 17 published rates is $211.30. The plan type listed beside each hospital's lowest rate is MGMCR, which looks like a Medicare Advantage code, so the low end likely reflects Medicare Advantage plans rather than commercial plans. Treat any single figure as one plan's rate, not a price every member will see.
Questions for your Optimum HealthCare lab work in Miami. These are facility rates, and professional fees are billed separately. Members can ask:
- Optimum HealthCare: what is my own plan's negotiated rate and estimated cost share for lab work at a named hospital?
- Optimum HealthCare: is that hospital in network for my plan?
- The hospital: can I get an estimate for my lab work?
Written from the rates in the table above. General information, not medical or insurance advice.
Understanding Optimum HealthCare Negotiated Rates
A negotiated rate is the price Optimum HealthCare 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 Optimum HealthCare 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 Optimum HealthCare Lab Work in Miami-Fort Lauderdale-West Palm Beach?
The lowest Optimum HealthCare negotiated rate for Lab Work in Miami-Fort Lauderdale-West Palm Beach is $45.67 at HCA Florida Kendall Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $361.72 at HCA Florida JFK North Hospital, an 8x difference. Commercial plan rates typically fall between these extremes.
Is the Optimum HealthCare negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Optimum HealthCare 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 Optimum HealthCare for a pre-service cost estimate specific to your plan.
How many Miami-Fort Lauderdale-West Palm Beach hospitals have published Optimum HealthCare rates?
9 hospitals in the Miami-Fort Lauderdale-West Palm Beach area have published Optimum HealthCare 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 Optimum HealthCare directly.
Can I get lab work done at a cheaper location with Optimum HealthCare?
Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your Optimum HealthCare 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 Optimum HealthCare 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 Optimum HealthCare or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.