CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Northwest Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $108
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Northwest Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 6200 North La Cholla Boulevard, Tucson, AZ.
Cash / Self-Pay
$108

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $108 (3407%)
Insurance Median: $4 (126%)
Cash: $108 (3407% of Medicare)
Ins. Median: $4 (126% 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
Aetna $3 - $162 95%
Blue Cross Blue Shield $3 - $54 95%
Cigna $3 - $5 95%
Department Of Veterans Affairs $3 95%
Fresenius Health $3 95%
Humana $3 95%
Magellan $3 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
Node Banner Mcr Adv $3 95%
Node Caremore Mcr Adv $3 95%
Node Clover Health Mcr Adv $3 95%
Node Devoted Health Mcr Adv $3 95%
Node Non Par Hospice Agree $3 95%
Node Va $3 95%
Pascua Yaqui Tribe $3 95%
Scan Health Plan $3 95%
Tricare $3 95%
Triwest $3 95%
UnitedHealthcare $3 - $180 95%
Veterans Eval Services $3 95%
Wellcare $3 95%
Ambetter / Centene $4 126%
Node Us Dept Of Labor $4 126%
Health Net $5 158%
Node Health Choice Health Exchange $5 158%
Node Fusion Network $6 189%
Node J Allen Inmate Health Svcs $6 189%
Seven Corners $7 221%
Self Pay $86 - $129 2713%
First Health Coventry $188 5931%
Coventry Medical Center $215 6782%
Multiplan $298 9401%
Prime Health $305 9621%
Healthsmart $323 10189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals