CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: HCA Florida Orange Park Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $1,812
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at HCA Florida Orange Park Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,812. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.
Cash / Self-Pay
$1,812

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: $1,812 (57161%)
Insurance Median: $4 (126%)
Cash: $1,812 (57161% 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
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 - $743 95%
Ndms Definitive Care $3 95%
Sunshine State $3 95%
United $3 - $815 95%
United Behavioral Health $3 95%
Veterans Evaluation Services $3 95%
Wellcare $3 95%
Wellmed $3 95%
Clay County Sheriffs Office $4 126%
Longevity $4 126%
Simply Healthcare $4 - $279 126%
Oscar $5 158%
Corvel Corporation $109 3438%
Prime Health $112 3533%
Optimum Healthcare $152 4795%
Avmed $217 - $507 6845%
Positive Healthcare $399 12587%
Sunshine State Health Plan $462 14574%
Molina Healthcare $489 15426%
Aetna $544 17161%
Medicare (plans) $815 25710%
Plotkin Health $906 28580%
Multiplan $1,413 - $1,540 44574%
Evernorth $1,449 45710%
Evolutions Healthcare $1,449 - $1,540 45710%
Ppo Next $1,540 48580%
Novanet $1,631 51451%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 Kingsley Ave, Orange Park, FL 32073
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals