CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Baptist Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Baptist Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.
Cash / Self-Pay
$6

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $6 (189%)
Insurance Median: $5 (158%)
Cash: $6 (189% of Medicare)
Ins. Median: $5 (158% 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.

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
Pensacola $1 - $11 32%
UnitedHealthcare $1 - $3 32%
Aetna $2 - $53 63%
Cha Health Plan $2 63%
Cigna $2 - $73 63%
Fl Community Care Ltc $2 63%
Hospice Emerald Coast $2 - $36 63%
Hospice Regency $2 - $22 63%
Humana $2 - $3 63%
Mh Sunshine Mcaid $2 63%
Simply Healthcare Healthy Kids $2 63%
Staywell $2 63%
Sunshine Health $2 63%
Escambia $3 - $44 95%
First Health $3 - $51 95%
Healthspring Of Fl Al $3 95%
Hospice Covenant $3 95%
Medicare (plans) $3 95%
Mh Wellcare $3 95%
Private Healthcare $3 - $47 95%
Uwf Athletes $3 - $47 95%
Wellcare $3 95%
Choicecare $4 - $55 126%
Mh Choicecare $4 - $55 126%
Multiplan $4 - $65 126%
Wc Corvel $4 - $69 126%
Fl Blue $5 - $426 158%
Bc Fl $305 9621%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 123 Baptist Way, Pensacola, FL 32503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals