CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Marion Communtiy Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $847
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Marion Communtiy Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $847. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$847

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: $847 (26719%)
Insurance Median: $5 (158%)
Cash: $847 (26719% 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 - $254 95%
Align Senior Care $3 95%
American Health Plan $3 95%
Avmed $3 - $237 95%
Blue Cross Blue Shield $3 95%
Centurion $3 95%
Cigna $3 95%
Clear Spring Health $3 95%
Devoted Health $3 95%
Florida Complete Care $3 95%
Freedom Optimum $3 95%
Gold Kidney Of Florida $3 95%
Humana $3 - $170 95%
Ndms Definitive Care $3 95%
Secur $3 95%
Sunshine State $3 95%
United $3 - $381 95%
Va Purchased Care Program $3 95%
Veterans Evaluation Services $3 95%
Wellcare $3 95%
Wellmed $3 95%
Careplus $4 126%
Longevity Health Plan $4 126%
Simply Healthcare $4 126%
Ultimate Health Plan $4 126%
Naphcare $7 - $8 221%
University Ma Federal Corrections $7 221%
Wellpath $7 - $8 221%
Corvel Corporation $104 3281%
Prime Health $107 3375%
Careworks (Rockport Community) $110 3470%
Marion County Schools $110 3470%
Simply $131 4132%
Molina Healthcare $161 - $271 5079%
Evolutions $195 6151%
Evolutions Healthcare $195 6151%
Sunshine State Health Plan $216 6814%
Plotkin Health $424 13375%
Prime Health Sheriff $424 13375%
Multiplan $661 20852%
Ppo Next $720 22713%
Novanet $763 24069%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals