CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Banner-University Medical Center South Campus

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Banner-University Medical Center South Campus is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 2800 East Ajo Way, Tucson, AZ.
Cash / Self-Pay
$9

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: $9 (284%)
Insurance Median: $4 (126%)
Cash: $9 (284% 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 - $25 95%
Arizona Physicians Ipa $3 95%
Arizona Priority Care $3 95%
Banner Health $3 95%
Banner University Health Plan $3 95%
Blue Cross Blue Shield $3 - $12 95%
Care 1St $3 95%
Carelon $3 95%
Cigna $3 - $6 95%
Devoted Health Services $3 95%
Gila River Health Care Corporation $3 95%
Gold Kidney Health Plan $3 95%
Health Choice Arizona, Inc. $3 - $5 95%
Health Net $3 - $5 95%
Humana $3 95%
Kaiser Foundation Health Plan $3 95%
Mercy Care $3 95%
Triwest Healthcare Alliance Corp - Va Ccn $3 95%
UnitedHealthcare $3 - $7 95%
Upmc Health Plan $3 95%
Wellpoint $3 95%
Naphcare $4 126%
Oscar Health Plan $5 158%
University Of Arizona (Kasser Medical Treatment Center) $16 505%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $21 662%
Plotkin Health $21 662%
Quiktrip Corporation $25 789%
Provider Network Of America $35 1104%
Arizona Medical Network $38 1199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2800 East Ajo Way, Tucson, AZ 85713
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals