CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Aspen Valley Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $96
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 30.28x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Aspen Valley Hospital is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 30.28x the Medicare baseline. Located in 401 Castle Creek Rd, Aspen, CO.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$96

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: $96 (3028%)
Insurance Median: $96 (3028%)
Cash: $96 (3028% of Medicare)
Ins. Median: $96 (3028% 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 3028% of the Medicare baseline (a markup of 2928%). 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.

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 $52 - $96 1640%
Blue Cross Blue Shield $52 - $89 1640%
Humana $52 - $91 1640%
Medicare (plans) $52 1640%
Tricare $52 - $96 1640%
UnitedHealthcare $52 - $96 1640%
Veterans Administration [100068] $52 1640%
Cigna $67 - $96 2114%
Allied Benefit Systems [100015] $91 2871%
Geha [100039] $91 2871%
Healthscope [100157] $91 2871%
Aarp [100007] $96 3028%
Aig Travel [100255] $96 3028%
Aig [700029] $96 3028%
Ameriben [100266] $96 3028%
American Republic [100018] $96 3028%
Amtrust North America [700042] $96 3028%
Axa Travel [100256] $96 3028%
Bankers Life Casualty [100022] $96 3028%
Broadspire [700043] $96 3028%
Bupa Global [100257] $96 3028%
Ccmsi [700017] $96 3028%
Champ Va [500001] $96 3028%
Chp [300053] $96 3028%
Chubb Services [700054] $96 3028%
Companion Life Pivot Health [100258] $96 3028%
Corvel [700058] $96 3028%
Employee Benefit Management [100033] $96 3028%
Equitable Life [100160] $96 3028%
Esis Work Comp [700010] $96 3028%
Freedom Life Insurance Company [100158] $96 3028%
Gallagher Bassett Work Comp [700013] $96 3028%
Generic Commercial [109999] $96 3028%
Generic Other [509999] $96 3028%
Generic Travel Insurance [109998] $96 3028%
Generic Workers' Comp [709999] $96 3028%
Gerber Life Insurance [100265] $96 3028%
Global Excel [100259] $96 3028%
Gmmi [100260] $96 3028%
Hartford Work Comp [700055] $96 3028%
Harvard Pilgrim Healthcare [100241] $96 3028%
Health Net [100261] $96 3028%
Imagine 360 [100043] $96 3028%
Kaiser Permanente [100254] $96 3028%
Liberty Healthshare [100262] $96 3028%
Liberty Mutual Work Comp [700016] $96 3028%
Marriott Claim [700056] $96 3028%
Medi Share [100263] $96 3028%
Medicaid / KanCare $96 3028%
Mutual Of Omaha [100074] $96 3028%
Owcp [700057] $96 3028%
Physicians Mutual [100075] $96 3028%
Pinnacol Assurance Wc [700059] $96 3028%
Relations Insurance Kaiser [800004] $96 3028%
Sedgwick [700027] $96 3028%
Sentinel Security Life [100264] $96 3028%
Skico Ortho Alternative Payer [100163] $96 3028%
Transamerica [100097] $96 3028%
Travelers Work Comp [700028] $96 3028%
Tufts Health Plan [100268] $96 3028%
United American Insurance [100119] $96 3028%
Usaa Life Insurance Company [100155] $96 3028%
Wea [100120] $96 3028%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Castle Creek Rd, Aspen, CO 81611
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals