CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: UF Health Shands Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at UF Health Shands Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 1600 Sw Archer Rd, Gainesville, FL.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $13 (410%)
Insurance Median: $3 (95%)
Cash: $13 (410% of Medicare)
Ins. Median: $3 (95% 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
Aetna $2 - $19 63%
Amerihealth Caritas Florida $2 63%
Beacon Health Strategies $2 63%
Community Care Plan $2 63%
Florida Community Care $2 63%
Humana $2 - $3 63%
Molina $2 63%
Simply Healthcare $2 63%
Sunshine State Health Plan $2 63%
UnitedHealthcare $2 - $3 63%
Ahf Mco Of Fl $3 95%
Avmed $3 95%
Blue Cross Blue Shield $3 - $12 95%
Capital Health Plan $3 - $12 95%
Carelon Health $3 95%
Careplus $3 95%
Devoted Health Plan $3 95%
Freedom Health- Inc./Optimum Healthcare- Inc. $3 95%
North Central Hospice $3 95%
Positive Healthcare Partners $3 95%
Vha $3 95%
Wellcare $3 95%
Ghilcrest County $4 126%
Levy County $4 126%
Wellpath $5 158%
Ambetter / Centene $9 284%
Uaa $9 284%
Northeast Fl Hospital $10 315%
Florida Health Care Plan $12 379%
Health First $16 505%
Prime Health Services $16 505%
Archbold Medical Center $17 536%
Cigna $17 536%
Genex $17 536%
Corvel Corp $20 631%
Geha $21 662%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 Sw Archer Rd, Gainesville, FL 32610
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals