CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Oviedo Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $212
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Oviedo Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.
Cash / Self-Pay
$212

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: $212 (6688%)
Insurance Median: $4 (126%)
Cash: $212 (6688% 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
Aetna $3 - $64 95%
Align Senior Care $3 95%
American Health Plan $3 95%
Avmed $3 - $106 95%
Blue Cross Blue Shield $3 95%
Centurion $3 95%
Cigna $3 95%
Clear Spring Health $3 95%
Devoted Health $3 95%
Fl Health Care Plan $3 95%
Florida Complete Care $3 95%
Gold Kidney Of Florida $3 95%
Humana $3 - $42 95%
Ndms Definitive Care $3 95%
Sunshine State $3 95%
United $3 - $95 95%
Wellcare $3 95%
Wellmed $3 95%
Careplus $4 126%
Longevity Health Plan $4 126%
Ultimate Health Plan $4 126%
Oscar $5 158%
Simply Healthcare $5 158%
Solis Health Plan $5 158%
Freedom Health $15 473%
Optimum $15 473%
Simply $33 1041%
Molina Healthcare $40 1262%
Evolutions $49 1546%
Sunshine State Health Plan $54 1703%
Florida Health Care Plan $80 2524%
Prime Health $112 3533%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8300 Red Bug Lake Rd, Oviedo, FL 32765
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals