CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Mat-Su Regional Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $145
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 45.74x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Mat-Su Regional Medical Center is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 45.74x the Medicare baseline. Located in 2500 South Woodworth Loop, Palmer, AK.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$145

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: $84 (2650%)
Insurance Median: $145 (4574%)
Cash: $84 (2650% of Medicare)
Ins. Median: $145 (4574% 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 4574% of the Medicare baseline (a markup of 4474%). 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
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
Node Non Par Hospice Agree $3 95%
Node Triwest $3 95%
Node Va $3 95%
Veterans Eval Services $3 95%
Node Champva $4 126%
Tricare $4 126%
Node Us Dept Of Labor $6 189%
Aetna $37 1167%
Self Pay $63 - $106 1987%
Ak Dept Of Corrections $116 3659%
Blue Cross Blue Shield $118 - $129 3722%
Hccmca $127 4006%
Multiplan Phcs $160 5047%
Cigna $167 5268%
Moda Assurance $167 5268%
Carlie Trans Grp $179 5647%
UnitedHealthcare $179 5647%
First Choice Health $190 5994%
Multiplan Mpi $192 6057%
Plan Vista Solutions $196 6183%
Multiplan Wc $200 6309%
One Health $200 6309%
First Health Group $203 6404%
Medical Control Network Solutions $203 6404%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2500 South Woodworth Loop, Palmer, AK 99645
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals