Urinalysis (automated, with microscopy)
Facility: Salina Regional Health Center
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $42
- Cash Discount Price: $33
- vs. Medicare Baseline: 13.25x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 1325% of the Medicare baseline (a markup of 1225%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $6 | 189% |
| Preferred Phsic | $28 | 883% |
| Preferred Healthcare - All Other Plans | $38 | 1199% |
| Multiplan (Mpi)-All Plans | $42 | 1325% |
| Providers Care (Wppa)-All Plans | $42 | 1325% |
| Aetna | $42 | 1325% |
| Cigna | $42 | 1325% |
Consumer Guidance & Cost Commentary
For the automated urinalysis procedure at Salina Regional Health Center, the facility's cash median price of $33.00 is notably lower than the state of Kansas average of $38.00. While most major payers, including Blue Cross Blue Shield and Aetna, have negotiated rates of $42.00, patients with high-deductible plans may find the cash price more advantageous if their insurance allowed amount exceeds this figure. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40% compared to direct cash payments.
To ensure you are not overcharged, always verify your specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in significant out-of-pocket costs. If you choose to pay directly, inquire immediately about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% by bypassing costly insurance claims processing. Additionally, if you receive a summary bill, request a full itemized audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute.