CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Saint Joseph Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $31
Cash Discount Price: Unavailable
vs. Medicare Baseline: 9.78x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Saint Joseph Hospital is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 9.78x the Medicare baseline. Located in 1375 E 19Th Ave, Denver, CO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$31

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%)

Insurance Median: $31 (978%)

Ins. Median: $31 (978% 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 978% of the Medicare baseline (a markup of 878%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cigna	$2 - $78	63%
Geha	$3 - $45	95%
Select Health	$3	95%
UnitedHealthcare	$3 - $45	95%
Blue Cross Blue Shield	$6 - $64	189%
Denv Hlth Med Plan	$8	252%
Kaiser Perm Hmo	$14 - $33	442%
Kaiser Perm Ppo/Pos	$18 - $34	568%
Kaiser Self Funded	$18 - $33	568%
Allegiance	$20	631%
Kaiser Mrp	$20	631%
Kaiser Snp	$20	631%
Aetna	$29 - $70	915%
Preferred One	$31	978%
Humana	$33	1041%
Cofinity	$56	1767%
First Health Network	$56	1767%
Private Hlthcare Sys	$59	1861%
Multiplan Inc	$66	2082%
Midlands Choice	$76	2397%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 81001.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Saint Joseph Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 81001.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.