Lab Work Cost in Port St. Lucie, FL

How much does a lab work cost without insurance in Port St. Lucie?

Cash prices vary by hospital and code. At Cleveland Clinic Martin North, the CBC (85025) is $40.30 and the CMP (80053) is $334.10. At HCA Florida Lawnwood Hospital, the CMP is $1,717, and at HCA Florida St. Lucie Hospital, it is $3,457. Both HCA hospitals list $0 for the CBC, which appears to be incomplete data, not a real price; their insured rates of $10.49 and up offer context. Overall, cash prices range from $40.30 to $3,457. At Cleveland Clinic, the CMP costs $293.80 more than the CBC. These are facility fees; physician or professional fees are billed separately.

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

The gross charge is the hospital's chargemaster price, a full list price that almost no one pays. At Cleveland Clinic Martin North, cash is 65% of gross for both codes ($40.30 of $62 for the CBC and $334.10 of $514 for the CMP). At HCA Lawnwood and HCA St. Lucie, the CMP cash price equals the gross charge, a 100% ratio ($1,717 and $3,457). Cleveland Clinic's larger percentage discount still results in a lower cash price, but the HCA gross charges are much higher to begin with, so the HCA cash prices remain higher even though no discount is applied.

Does insurance cover a lab work?

Coverage depends on the health plan and whether the test is considered medically necessary. Negotiated rates vary widely: the CMP has 244 payer rates from $10.51 to $2,938.45, and the CBC has 42 rates from $10.49 to $161.40. Prior authorization requirements may apply in non-emergency cases, depending on the plan. For patients on a high-deductible plan who have not met their deductible, the amount owed is the negotiated rate for the plan, not the gross charge. Once the deductible is met, cost sharing such as coinsurance or copays follows the plan's terms.

Are there additional fees beyond the lab work facility charge?

Yes. The facility fee covers the hospital's laboratory, equipment, and staff. The ordering physician typically reviews results as part of a separate office visit, not as a standalone fee, and professional fees are billed separately from the facility charge. If the blood draw takes place in an emergency department, separate ER facility fees apply. Additional charges may also arise from other tests ordered at the same time. None of these additional fees appear in the hospital price transparency data used here, so no dollar amounts are listed for them.

What is the cash price for a CMP at Cleveland Clinic Martin North Hospital?

Cleveland Clinic Martin North Hospital lists a cash price of $334.10 for the Comprehensive Metabolic Panel (80053), against a gross charge of $514. That cash figure is 65% of the gross charge. These are facility charges only and do not include any separate professional fees.

What is the lowest price for a CBC with differential in Port St. Lucie?

The lowest cash price on this page is $40.30 for the Complete Blood Count with Differential (85025) at Cleveland Clinic Martin North Hospital, with a gross charge of $62. It is a facility charge only. HCA Florida Lawnwood Hospital and HCA Florida St. Lucie Hospital have no published cash price for this code, which means the data is missing, not free.

What is the difference between billing codes 80053 and 85025 in Port St. Lucie?

Code 80053 is the Comprehensive Metabolic Panel (CMP) and 85025 is the Complete Blood Count (CBC) with Differential. At Cleveland Clinic Martin North Hospital, the cash price is $334.10 for 80053 and $40.30 for 85025. These are facility charges only, and the page lists them as separate billing codes.

How much does Aetna pay for lab work in Port St. Lucie hospitals?

Across the three Port St. Lucie area hospitals on this page, Aetna rates for these two lab codes run from $10.56 at Cleveland Clinic Martin North Hospital to $1,037.10 at HCA Florida St. Lucie Hospital. The median is $150.60. These are facility charges only, and rates vary by hospital and plan.