CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: North Okaloosa Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at North Okaloosa Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $96 (3028%)
Insurance Median: $4 (126%)
Cash: $96 (3028% of Medicare)
Ins. Median: $4 (126% 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
Amerigroup $2 63%
Humana $2 - $3 63%
Integral Health $2 63%
Magellan Health $2 63%
Medicaid / KanCare $2 63%
Prestige Health $2 63%
Simply Healthcare $2 - $3 63%
UnitedHealthcare $2 - $84 63%
Wellcare $2 - $3 63%
Aetna $3 - $318 95%
Blue Cross Blue Shield $3 - $425 95%
Cigna $3 - $331 95%
Florida Department Of Corrections $3 95%
Medicare (plans) $3 95%
Node Champva $3 95%
Node Non Par Hospice Agree $3 95%
Node Va $3 95%
Tricare $3 95%
Veterans Eval Services $3 95%
Amcomp Workers Comp $4 126%
Evolutions $4 - $374 126%
Node Us Dept Of Labor $4 126%
Prime Health Work Comp Fl $4 126%
Usa Managed Care Work Comp Fl $4 126%
Oscar $5 158%
State Auto Insurance Fl $6 189%
Occunet $8 252%
Self Pay $76 - $115 2397%
Corizon Health Inc $144 4543%
Phcs $382 12050%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals