CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Flowers Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $41
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Flowers Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $41. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$41

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $41 (1293%)
Insurance Median: $5 (158%)
Cash: $41 (1293% of Medicare)
Ins. Median: $5 (158% 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%
Alabama Rehab $2 63%
Aetna $3 - $133 95%
Bc Pml $3 95%
Blue Cross Blue Shield $3 - $4 95%
Care Improvement Plus $3 95%
Cigna $3 - $5 95%
Compassionate Hands $3 95%
Covenant Hospice $3 95%
Dayspring Hospice $3 95%
Eon Health Care $3 95%
Humana $3 95%
Medicare (plans) $3 95%
Node Champva $3 95%
Node Clover Health Mcr Adv $3 95%
Node Devoted Health Mcr Adv $3 95%
Node Hospice Non Par $3 95%
Node Va $3 95%
Node Viva Mcr Adv $3 95%
Node Wellcare Mcr Adv $3 95%
Occunet $3 95%
Prime Health $3 - $128 95%
Select Health $3 95%
Southern Care Hospice $3 95%
Tricare $3 95%
UnitedHealthcare $3 95%
Veterans Eval Services $3 95%
Vistacare Hospice $3 95%
Wiregrass Hospice $3 95%
Node Us Dept Of Labor $4 126%
Ambetter / Centene $5 158%
Self Pay $27 - $55 852%
S & S Healthcare $46 1451%
Choicecare Commercial $64 2019%
American Employee Alliance $73 2303%
Coventry Healthcare $91 - $139 2871%
Viva Health $109 3438%
Multiplan $118 - $146 3722%
Standard Textile $127 4006%
Alamed Wc $128 4038%
Health Choice $133 4196%
Equian $136 - $144 4290%
Qhp $136 4290%
Novanet $146 4606%
Alabama Work Comp $151 4763%
Ccn/Mednet Ppo $155 4890%
Corvel $155 4890%
Industry Buying Group $155 4890%
Galaxy Health $164 5174%
Health Payors Org $164 5174%
National Provider Net $164 5174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals