CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: St Francis Hospital & Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $770
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at St Francis Hospital & Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $770. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$770

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: $770 (24290%)
Insurance Median: $4 (126%)
Cash: $770 (24290% 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
Connecticut Dept of Correction $2 - $147 63%
Aetna $3 - $156 95%
Blue Cross Blue Shield $3 - $156 95%
Cca Senior Care Options $3 - $160 95%
Cigna $3 - $161 95%
Geha $3 95%
Harvard Pilgrim Healthcare $3 95%
Medicare (plans) $3 - $164 95%
UnitedHealthcare $3 - $160 95%
1199 National Benefit Fund $4 126%
Allied Benefit Systems $4 126%
Bcn Domestic $4 126%
Blue Benefit Administrators of Massachusetts $4 126%
Blue Care Network $4 126%
Blue Distinction Transplant $4 126%
Blue Shield - Ca $4 126%
Blue Shield - Id (Regence) $4 126%
Blue Shield - Ny Highmark Northeastern $4 126%
Blue Shield - Ny Highmark Western $4 126%
Blue Shield - PA (Highmark) $4 126%
Blue Shield - Wa (Regence) $4 126%
Centivo $4 126%
Connecticare $4 - $5 126%
Fallon Health $4 - $207 126%
Gravie Admin Services $4 126%
Hap $4 126%
Health Choices $4 126%
Kaiser Domestic $4 126%
Luminare Health $4 126%
Meritain $4 126%
Nippon Life Ins $4 126%
Pre-Employment $4 126%
Unicare $4 - $554 126%
Wc Domestic $4 126%
Webtpa $4 126%
Wellpoint $4 - $554 126%
Health New England $6 189%
Allegiance $7 221%
Allied National Global Care $7 221%
Asrm - Reliance Standard Life Insurance $7 221%
Christian Care Ministry $7 221%
Dean Health $7 221%
Family Life Insurance Company $7 221%
Ghc Scw $7 221%
Health Partners $7 221%
Innovative Health Plan II $7 - $335 221%
International Benefit Administrators $7 221%
Lifetime Benefit Solutions $7 221%
Magnacare $7 221%
Manhattan Life $7 221%
Medi Share $7 221%
Multiplan $7 221%
Mvp $7 221%
PHCS $7 221%
Pai $7 221%
Pan-American Life $7 221%
Paramount HMO $7 221%
Prime Health Services $7 221%
Trinity Health Share $7 221%
Health Smart $8 252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals