Lab Work Cost in Melbourne-Palm Bay, FL

How much does a lab work cost without insurance in Melbourne-Palm Bay?

Without insurance, the cash price at all four hospitals (Cape Canaveral Hospital, Holmes Regional Medical Center, Palm Bay Hospital, and Viera Hospital) is $24.50 for the CBC with Differential (85025) and $29 for the Comprehensive Metabolic Panel (80053). The overall range is $24.50 to $29. The CMP costs $4.50 more than the CBC at each hospital. These amounts are facility fees, meaning the hospital's charge for the lab equipment, supplies, and staff. Physician or professional fees are billed separately and are not included in these figures.

Why is the gross charge so much higher than the cash price?

The gross charge, also called the chargemaster price, is the hospital's undiscounted list price. Almost no one pays it. At all four hospitals, the gross charge is $98 for the CBC with Differential and $116 for the CMP. Cash prices are $24.50 and $29, so cash is 25% of gross for both codes, a 75% discount. Because the hospitals list identical gross charges and apply the same discount, there is no hospital where a larger percentage discount produces a higher cash price. Insurers negotiate their own rates, which are generally unrelated to the gross charge.

Does insurance cover a lab work?

Coverage depends on the specific plan and on whether the test is considered medically necessary under that plan. Negotiated rates vary widely: the CMP ranges from $10.56 to $402 across 136 payer rates, and the CBC with Differential ranges from $10.37 to $402 across 132 payer rates. Prior authorization requirements apply to some non-emergency services, and the plan's policy determines whether it is needed. If you are on a high-deductible plan and have not met your deductible, you owe the negotiated rate for the test, not the gross charge, until the deductible is met.

Are there additional fees beyond the lab work facility charge?

Yes. The figures on this page are hospital facility fees only. For lab work, the ordering physician typically reviews the results as part of a separate office visit rather than as a standalone fee, and that visit is billed separately by the physician's practice. If a pathologist reviews a sample, that professional service may also be billed separately. Tests performed in the emergency department incur separate ER facility fees. Dollar amounts for these additional charges are not included in the source data.

What is the cash price for a CMP at Palm Bay Hospital?

Palm Bay Hospital lists a cash price of $29 for the Comprehensive Metabolic Panel (CMP), code 80053, against a gross charge of $116. The cash price is 25% of gross. This is a facility charge only, so separate professional or other fees are not included in the figure.

What is the self-pay price for a CBC with differential at Holmes Regional Medical Center?

Holmes Regional Medical Center publishes a cash price of $24.50 for the Complete Blood Count (CBC) with Differential, code 85025. Its gross charge is $98, and the cash price is 25% of gross. This is a facility charge only. All 8 price rows on this page include a published cash price, so none is missing.

What are the lowest and highest prices for lab work in Melbourne-Palm Bay?

Cash prices on this page run from $24.50 for code 85025 to $29 for code 80053, both at Cape Canaveral Hospital. Insured rates run from $2.97 for code 85025 to $402 for code 80053. These are facility charges only, and the same cash figures appear at all 4 hospitals.

What does UnitedHealthcare pay for lab work at Viera Hospital?

Among UnitedHealthcare's rates on this page, the highest is $116 at Viera Hospital and the lowest is $15.54 at Cape Canaveral Hospital. The median across 4 hospitals is $41.71. The highest is about 7x the lowest. These are facility charges only, and rates can vary by plan.

What is the difference between billing codes 80053 and 85025 in Melbourne?

Code 80053 is the Comprehensive Metabolic Panel (CMP) and code 85025 is the Complete Blood Count (CBC) with Differential. At Melbourne-area hospitals such as Cape Canaveral Hospital, the CMP shows a gross charge of $116 and cash price of $29, while the CBC shows $98 and $24.50. These are facility charges only.