CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Larkin Community Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $151
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Larkin Community Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$151

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: $151 (4763%)
Insurance Median: $4 (126%)
Cash: $151 (4763% 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
Corvel Mcaid Workers Comp $1 32%
Medicaid / KanCare $1 - $2 32%
Sunshine Behavioral $1 32%
Aetna $2 - $215 63%
Ambetter / Centene $2 63%
Community Care Phks Mcaid-All Other Plans $2 63%
Florida Comm Care Mcaid $2 63%
Humana $2 - $215 63%
Molina Exch Marketplace-All Other Plans $2 63%
UnitedHealthcare $2 - $4 63%
Blue Cross Blue Shield $3 - $172 95%
Clear Springs Hlth-All Plans $3 95%
Florida Comm Care Mcare-All Other Plans $3 95%
Medicare (plans) $3 - $226 95%
Ops Maritime-All Plans $3 95%
Opus Hospice Ip Only-All Plans $3 95%
Preferred Care Partners Mcare-All Plans $3 95%
Unicare Simply Mcare Ppo-All Plans $3 95%
Wellpath-All Plans $3 95%
Allianz (Azga)-All Plans $4 126%
Fci-All Plans $4 126%
Fdc-All Plans $7 221%
Cigna $54 1703%
Healthsun-All Plans $64 2019%
Star Network-All Plans $86 2713%
Jmh Health Plan Hmo/Ppo-All Other Plans $118 3722%
Global Excel-All Plans $129 4069%
Haa Preferred Partners-All Plans $129 4069%
Corvel Mcare Workers Comp-All Plans $194 6120%
Magellan Complete Care $194 6120%
Avmed-All Plans $215 6782%
Careplus Health-All Other Plans $215 6782%
Centurion-All Plans $215 6782%
Coventry Comml-All Plans $215 6782%
Doctors Healthcare-All Plans $215 6782%
First Med Hp Of Fl-All Plans $215 6782%
Florida Health Solution/Hmo-All Plans $215 6782%
Bright Health-All Other Plans $258 8139%
Oscar Health-All Plans $430 13565%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals