CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: HCA Florida North Florida Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $15
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at HCA Florida North Florida Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$15

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: $15 (473%)
Insurance Median: $3 (95%)
Cash: $15 (473% 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
Avmed $2 - $7 63%
Simply $2 63%
United $2 - $7 63%
Aetna $3 - $4 95%
Align Senior Care $3 95%
American Health Plan $3 95%
Blue Cross Blue Shield $3 95%
Capital Health Plan $3 95%
Centurion $3 95%
Cigna $3 95%
Clear Spring Health $3 95%
Evolutions $3 95%
Florida Complete Care $3 95%
Gold Kidney Of Florida $3 95%
Hospice Of North Central Fl $3 95%
Humana $3 95%
Molina Healthcare $3 - $5 95%
Ndms Definitive Care $3 95%
Sunshine State $3 95%
United Behavioral Health $3 95%
Wellcare $3 95%
Wellmed $3 95%
Longevity Health Plan $4 126%
Oscar $4 126%
Simply Healthcare $4 126%
Sunshine State Health Plan $4 126%
Ultimate Health Plan $4 126%
Plotkin Health $7 221%
Prime Health Sheriff $7 221%
Corizon Phs $9 284%
Evernorth $12 379%
Multiplan $12 - $13 379%
Evolutions Healthcare $13 410%
Novanet $13 410%
Ppo Next $13 410%
Beacon Health Options $15 473%
Corvel Corporation $116 3659%
Prime Health $118 3722%
Careworks (Rockport Community) $122 3849%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals