CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Medical Center Enterprise

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Medical Center Enterprise is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$65

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $65 (2050%)
Insurance Median: $3 (95%)
Cash: $65 (2050% of Medicare)
Ins. Median: $3 (95% 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
Medicaid / KanCare $1 - $2 32%
Aetna $3 - $233 95%
Bc Pml $3 95%
Blue Cross Blue Shield $3 - $4 95%
Covenant Hospice $3 95%
Dayspring Hospice $3 95%
Eon Health $3 95%
Healthspring $3 95%
Humana $3 95%
Medicare (plans) $3 95%
Node Champva $3 95%
Node Clover Mcr Adv $3 95%
Node Devoted Health Mcr Adv $3 95%
Node Hospice Non Par $3 95%
Node Va $3 95%
Node Wellcare Mcr Adv $3 95%
Occunet $3 95%
Select Health $3 95%
Southerncare Hospice $3 95%
Tricare $3 95%
UnitedHealthcare $3 95%
Veterans Eval Services $3 95%
Wiregrass Hospice $3 95%
Al Maternity Waiver Program $4 126%
Node Us Dept Of Labor $4 126%
Ambetter / Centene $5 158%
Cigna $6 - $29 189%
Self Pay $30 - $100 946%
American Employee Alliance $133 4196%
Alamed $200 6309%
Affordable Health $233 7350%
Health Choice $233 7350%
Novanet Ppo $233 7350%
Coventry Work Comp Al $245 7729%
Multiplan $246 - $263 7760%
Wc Dept Ind Relations $266 8391%
Corvel $283 8927%
Galaxy Health $299 9432%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals