CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: HCA Florida Northside Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $594
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at HCA Florida Northside Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $594. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.
Cash / Self-Pay
$594

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: $594 (18738%)
Insurance Median: $5 (158%)
Cash: $594 (18738% 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
Avmed $2 - $294 63%
Molina $2 - $318 63%
Simply Healthcare $2 - $181 63%
United $2 - $529 63%
Aetna $3 - $353 95%
Align Senior Care $3 95%
American Health Plan $3 95%
Baycare Health Plans $3 95%
Blue Cross Blue Shield $3 95%
Caresource $3 95%
Centurion $3 95%
Cigna $3 95%
Clear Spring Health $3 95%
Devoted Health $3 95%
Evolutions Healthcare Systems $3 - $1,082 95%
Florida Complete Care $3 95%
Gold Kidney Of Florida $3 95%
Humana $3 - $329 95%
Ndms Definitive Care $3 95%
Secur $3 95%
Sunshine State $3 95%
Sunshine State Health Plan $3 - $300 95%
Ultimate Health Plan $3 95%
United Va Ccn $3 95%
Wellcare $3 95%
Wellmed $3 95%
Careplus $4 126%
Longevity Health Plan $4 126%
Oscar $4 126%
Solis Health Plan $5 158%
Plotkin Health $6 - $588 189%
Prime Health Sheriff $6 - $588 189%
Multiplan $8 - $1,000 252%
Access 2 Healthcare Physicians Freedom Optimum Group Members $55 1735%
Access 2 Healthcare Physicians Freedom Health $85 2681%
Access 2 Healthcare Physicians Optimum $85 2681%
Freedom Health Care $92 2902%
Optimum Healthcare $92 2902%
Suncoast Neighborly Care $94 2965%
Corvel Corporation $111 3502%
Rockport Healthcare Group $111 3502%
Prime Health $113 3565%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6000 49Th St N, Saint Petersburg, FL 33709
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals