CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: HCA Florida Memorial Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $616
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at HCA Florida Memorial Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $616. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
$616

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: $616 (19432%)
Insurance Median: $5 (158%)
Cash: $616 (19432% 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
Aetna $3 - $185 95%
American Health Plan $3 95%
Blue Cross Blue Shield $3 95%
Careplus $3 95%
Cigna $3 95%
Devoted Health $3 95%
Florida Complete Care $3 95%
Gold Kidney $3 95%
Hospice Community $3 95%
Hospice Haven $3 95%
Humana $3 - $179 95%
Ndms Definitive Care $3 95%
Sunshine State $3 95%
United $3 - $277 95%
United Behavioral Health $3 95%
Veterans Evaluation Services $3 95%
Wellcare $3 95%
Wellmed $3 95%
Longevity $4 126%
Simply Healthcare $4 - $95 126%
Oscar $5 158%
Optimum Healthcare $52 1640%
Avmed $74 - $172 2334%
City Of Jacksonville $109 3438%
Corvel Corporation $109 3438%
Prime Health $112 3533%
Positive Healthcare $136 4290%
Sunshine State Health Plan $157 4953%
Molina Healthcare $166 5237%
Centurion $171 5394%
Corizon $185 5836%
Plotkin Health $308 9716%
Multiplan $480 - $524 15142%
Evernorth $493 15552%
Evolutions Healthcare $493 - $524 15552%
Ppo Next $524 16530%
Novanet $554 17476%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3625 University Blvd S, Jacksonville, FL 32216
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals