Urinalysis (automated, with microscopy)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $75
- Cash Discount Price: $100
- vs. Medicare Baseline: 23.66x 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 2366% of the Medicare baseline (a markup of 2266%). 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 | $60 | 1893% |
| Americas Choice Provider Network | $70 | 2208% |
| Quiktrip Corporation | $75 | 2366% |
| Velocity | $75 | 2366% |
| Provider Network Of America | $75 | 2366% |
| Usa Managed Care Organization | $75 | 2366% |
| Multiplan-Phcs | $80 | 2524% |
| Prime Health Services | $85 | 2681% |
| Medincrease | $90 | 2839% |
Consumer Guidance & Cost Commentary
For the CPT code 81001, Urinalysis (automated, with microscopy), the Rehabilitation Hospital Of Overland Park lists a cash median price of $100.00. While this facility is in-network for nine payers with negotiated rates ranging from $60 to $85, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds this amount. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price compared to direct cash payments. To ensure you receive the best possible rate, you should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling your visit, as these upfront fee reductions can significantly lower your out-of-pocket costs.
This service is priced at 23.7% above the Medicare benchmark of $3.17, which serves as the objective baseline for evaluating hospital pricing markups. While the data does not provide specific state or county average comparisons for this code, understanding the Medicare rate helps clarify the true cost of care versus the inflated chargemaster lists often used for marketing. If you receive a bill from an out-of-network provider or encounter unexpected charges, you have protections under the No Surprises Act that may prevent balance billing for emergency or non-emergency services at in-network facilities. Always request a full itemized CPT-coded bill before paying, as summary invoices can obscure errors or unbundled charges, and you should dispute any discrepancies in writing to ensure accurate billing.