CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Coral Gables Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $475
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Coral Gables Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $475. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 3100 Douglas Rd, Coral Gables, FL.
Cash / Self-Pay
$475

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: $475 (14984%)
Insurance Median: $4 (126%)
Cash: $475 (14984% 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
Cigna $2 - $140 63%
Humana $2 - $173 63%
Medicaid / KanCare $2 63%
UnitedHealthcare $2 - $3 63%
Veterans Administration Mill Bill $2 63%
Aetna $3 - $356 95%
Avmed Broad Network $3 95%
Catholic Hospice $3 95%
Devoted Health $3 95%
Employer Direct Healthcare $3 - $4 95%
Hcr Manor Care Services Of Fl Ii Dba Heartland Hospice Services $3 95%
Healthsun Health Plans $3 95%
Hospice Other $3 95%
Leon Health Inc $3 95%
Longevity Health Plan $3 95%
Medicare (plans) $3 - $7 95%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $3 95%
Opus Care Of South Florida $3 95%
Seasons Hospice And Palliative Care Of Southern Florida Inc $3 95%
Tricare $3 95%
Veterans Administration Vaccn $3 95%
Vitas Healthcare Corporation/Hospice Ppo $3 95%
Bright Health Management Commercial $4 126%
Dimension Health Wc $4 126%
Florida Pace Centers $4 126%
Imagine Health $4 126%
Naphcare Inc $4 126%
Oscar Health Plan Hix $4 126%
Self Pay/Uninsured $4 126%
Workers Compensation $4 126%
Ambetter / Centene $6 189%
Auto Insurance $6 189%
Avmed Exchange $6 189%
Avmed Select Network $6 189%
Molina Marketplace Program Exchange $6 189%
Amerihealth Caritas Next Exchange $7 221%
Bc/Bs Myblue Hmo Hix $59 1861%
Bc/Bs Of Fl Network Blue $63 1987%
Bc/Bs Of Fl Ppo $63 1987%
Bc/Bs Of Fl Simplyblue $63 1987%
Bc/Bs Of Fl Blue Select Exchange Non Par $68 2145%
Bc/Bs Of Fl Health Options Hmo $73 2303%
Bc/Bs Of Fl Miami Dade Blue Select $73 2303%
Bc/Bs Of Fl Phs $255 8044%
Dimension International $309 9748%
First Health $337 10631%
Dimension Health Ppo $356 11230%
Commercial Non-Contracted $475 14984%
Self Pay - Mcd Pending 100 Percent $475 14984%
Single Case Agreement $475 14984%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Douglas Rd, Coral Gables, FL 33134
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals