CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: HCA Florida Twin Cities Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $111
Cash Discount Price: $1,095
vs. Medicare Baseline: 35.02x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at HCA Florida Twin Cities Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,095. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 35.02x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$1,095

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $1,095 (34543%)

Insurance Median: $111 (3502%)

Cash: $1,095 (34543% of Medicare)

Ins. Median: $111 (3502% 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 3502% of the Medicare baseline (a markup of 3402%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$3 - $328	95%
American Health Plan	$3	95%
Blue Cross Blue Shield	$3	95%
Centurion	$3	95%
Clear Spring Health	$3	95%
Florida Complete Care	$3	95%
Gold Kidney Of Florida	$3	95%
Healthspring Of Florida	$3	95%
Humana	$3 - $416	95%
Ndms Definitive Care	$3	95%
Regency Hospice	$3	95%
Sunshine State	$3	95%
United	$3 - $493	95%
Wellcare	$3	95%
Wellmed	$3	95%
Longevity Health Plan	$4	126%
Oscar	$4	126%
Ultimate Health Plan	$4	126%
Simply Healthcare	$5	158%
Corvel Corporation	$111	3502%
Prime Health	$113	3565%
Careworks (Rockport Community)	$116	3659%
Simply	$169	5331%
Molina Healthcare	$208 - $350	6562%
Avmed	$263 - $548	8297%
Sunshine State Health Plan	$279	8801%
Plotkin Health	$548	17287%
Prime Health Sheriff	$548	17287%
Evolutions Healthcare	$712 - $931	22461%
Multiplan	$854 - $931	26940%
Ppo Next	$931	29369%
Novanet	$986	31104%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,095.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 81001.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Twin Cities Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 81001.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.