CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Mercy Hospital Berryville
Billing Code: 81001 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 81001
- Insurance Median: $19
- Cash Discount Price: $47
- vs. Medicare Baseline: 5.99x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Mercy Hospital Berryville is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 5.99x the Medicare baseline. Located in 214 Carter Street, Berryville, AR.
Cash / Self-Pay
$47
Average discount available for prompt cash payment at this facility.
Insurance Median
$19
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: $47 (1483%)
Insurance Median: $19 (599%)
Cash: $47 (1483% of Medicare)
Ins. Median: $19 (599% 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 599% of the Medicare baseline (a markup of 499%). 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.
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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 | $3 - $18 | 95% |
| Medicaid / KanCare | $3 - $28 | 95% |
| United Medical Resources Contracted [320454] | $3 - $61 | 95% |
| UnitedHealthcare | $3 - $18 | 95% |
| Summit Community Care Contracted [320368] | $5 | 158% |
| Summit Community Care [20368] | $5 | 158% |
| Arkansas Total Care Contracted [320039] | $10 | 315% |
| Qual Choice Contracted [320324] | $14 | 442% |
| Aetna | $18 | 568% |
| American Health Advantage Of Mo Mcr [20264] | $18 | 568% |
| Cherokee Nation Health Serv Contracted [320066] | $18 | 568% |
| Cross Timbers Hospice [20098] | $18 | 568% |
| Dept Of Veteran Affairs Contracted [320106] | $18 | 568% |
| Elara Caring Aspire Hospice [20433] | $18 | 568% |
| Globalhealth Contracted [320145] | $18 | 568% |
| Halo Hcr Inc Hospice Contracted [320432] | $18 | 568% |
| Halo Hcr Inc Hospice [20432] | $18 | 568% |
| Humana | $18 - $61 | 568% |
| Independent Health [20197] | $18 | 568% |
| Indian Health Service Contracted [320198] | $18 | 568% |
| Indian Health Service [20198] | $18 | 568% |
| Jordan Valley Senior Care Pace [20515] | $18 | 568% |
| Kindful Hospice Contracted [320434] | $18 | 568% |
| Kindful Hospice [20434] | $18 | 568% |
| Medical Associates Health [20444] | $18 | 568% |
| Medicare (plans) | $18 - $19 | 568% |
| Mercy Hospice Okc [20252] | $18 | 568% |
| Mercy Mgd Behavioral Health Contracted [320259] | $18 | 568% |
| Pace Of The Ozarks [20518] | $18 | 568% |
| Provider Partners Health Plans Contracted [320450] | $18 | 568% |
| Qual Choice Contracted [320325] | $18 | 568% |
| Spina Bifida Hlthcare Benefit [20506] | $18 | 568% |
| Valir Pace [20503] | $18 | 568% |
| Wellfirst Health Mcr [20443] | $18 | 568% |
| Cigna | $19 | 599% |
| Tricare | $19 | 599% |
| Mercy Interfacility [20513] | $21 | 662% |
| Healthscope Contracted [320182] | $23 | 726% |
| Ambetter / Centene | $28 | 883% |
| Home State Health Plan Contracted [320187] | $28 | 883% |
| Novasys Contracted [320285] | $29 | 915% |
| Administrative Payor Contracted [320005] | $32 | 1009% |
| Auxiant Contracted [320462] | $43 - $65 | 1356% |
| Healthlink Contracted [320179] | $47 - $61 | 1483% |
| Mercy Benefit Admin Contracted [320251] | $47 - $61 | 1483% |
| Personify Health Contracted [320051] | $47 | 1483% |
| Preferred Health Plan Contracted [320522] | $47 | 1483% |
| Insurance System Inc Contracted [320465] | $58 | 1830% |
| Point C Contracted [320238] | $58 | 1830% |
| 90 Degree Benefits Contracted [320436] | $61 | 1924% |
| Aither Health Contracted [320449] | $61 | 1924% |
| Benefit Management Contracted [320052] | $61 | 1924% |
| Ebms Contracted [320493] | $61 | 1924% |
| Edison Health Solutions Contracted [320502] | $61 | 1924% |
| First Health Contracted [320128] | $61 | 1924% |
| Healthsmart Preferred Care Contracted [320184] | $61 | 1924% |
| Imagine 360 Contracted [320494] | $61 | 1924% |
| Medica Contracted [320239] | $61 | 1924% |
| Ppo Plus Contracted [320310] | $61 | 1924% |
| Reflect Health Contracted [320492] | $61 | 1924% |
| Show-Me Health Administrators Contracted [320483] | $61 | 1924% |
| Multiplan Contracted [320270] | $68 | 2145% |
| Private Health Care Systems Contracted [320320] | $68 | 2145% |