CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $10
  • Cash Discount Price: $932
  • vs. Medicare Baseline: 3.15x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at HCA Florida Lawnwood Hospital is $10. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $932. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 3.15x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$932

Average discount available for prompt cash payment at this facility.

Insurance Median
$10

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: $932 (29401%)
Insurance Median: $10 (315%)
Cash: $932 (29401% of Medicare)
Ins. Median: $10 (315% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 315% of the Medicare baseline (a markup of 215%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 - $586 63%
Aetna $3 - $484 95%
American Health Plan $3 95%
Blue Cross Blue Shield $3 - $678 95%
Bright Health $3 - $275 95%
Careplus $3 95%
Centurion $3 95%
Delaware Life Insurance $3 95%
Devoted Health $3 95%
Florida Complete Care $3 95%
Humana $3 - $380 95%
Innovage Pace $3 95%
Kaiser $3 - $325 95%
Mutual Of Omaha $3 95%
Ndms Definitive Care $3 95%
Prominence Healthfirst $3 95%
Rocky Mountain Health $3 95%
Rocky Mountain Health Plan $3 95%
Sunshine State $3 95%
Total Longterm Care $3 95%
Triwest Health Alliance $3 95%
Ultimate Health Plan $3 95%
United $3 - $427 95%
United Behavioral Health $3 95%
Veterans Evaluation Services $3 95%
Wellcare $3 95%
Wellmed $3 95%
Amerihealth Caritas $4 126%
Longevity Health Plan $4 126%
Solis Health Plan $5 158%
Oscar $6 189%
Simply Healthcare $7 221%
Freedom Health $82 - $152 2587%
Optimum $82 2587%
Corvel Corporation $114 3596%
Careworks (Rockport) $116 3659%
Prime Health $116 - $824 3659%
Avmed $123 - $474 3880%
Simply Healthcare Plans $123 3880%
Vail Health $139 4385%
Molina $180 - $256 5678%
Health Sun Health Plan $202 6372%
Sunshine State Health Plan $242 7634%
Office Of Sheiff Highland Co $332 10473%
United Ppo $418 13186%
Plotkin Health $474 14953%
Prime Health Sherriff $474 14953%
Western Plains Community Health $595 18770%
Multiplan $641 - $824 20221%
Northcare $641 20221%
Physician Health Partners $641 20221%
Pinnacol Workers Comp $687 21672%
Medical Development International $733 23123%
Evernorth Bh $759 23943%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals