CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $53
  • Cash Discount Price: $147
  • vs. Medicare Baseline: 16.72x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Larkin Community Hospital Palm Springs Campus is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $147. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 16.72x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$147

Average discount available for prompt cash payment at this facility.

Insurance Median
$53

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.17 (100%)
Cash / Self-Pay: $147 (4637%)
Insurance Median: $53 (1672%)
Cash: $147 (4637% of Medicare)
Ins. Median: $53 (1672% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1672% of the Medicare baseline (a markup of 1572%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $2 - $3 63%
Florida Community Care Mcaid-All Plans $2 63%
Miami Childrens Hp Mcaid-All Plans $2 63%
Simply Healthcare Mcaid $2 63%
Sunshine Mcaid $2 63%
United Mcaid $2 63%
Wellcare Mcaid $2 63%
Ambetter / Centene $3 95%
Blue Cross Blue Shield $3 - $172 95%
Clear Springs Health - All Plans $3 95%
Fdc - All Plans $3 95%
Medicare (plans) $3 - $210 95%
Opus Hospice Ip Only - All Plans $3 95%
Unicare Simply Mcare Ppo - All Plans $3 95%
Bright Health Commercial - All Other Plans $4 126%
Ccs - All Plans $4 126%
Cigna $52 1640%
Humana $63 - $210 1987%
Wellcare Comm (Choice) - All Other Plans $105 3312%
Leon Med Center Mcr Adv - All Plans $189 5962%
Careplus Health - All Other Plans $210 6625%
Centurion Doc - All Plans $210 6625%
Doctors Healthcare - All Plans $210 6625%
Florida Health Solution/Hmo - All Plans $210 6625%
Preferred Care Partners Mcr - All Plans $210 6625%
Simply Healthcare Mcr - All Other Plans $210 6625%
UnitedHealthcare $210 6625%
Naphcare - All Plans $242 7634%
Oscar Health-All Plans $420 13249%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals