CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Tift Regional Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $16
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Tift Regional Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.
Cash / Self-Pay
$16

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $16 (505%)
Insurance Median: $3 (95%)
Cash: $16 (505% of Medicare)
Ins. Median: $3 (95% 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
Blue Cross Blue Shield $1 - $108 32%
Humana $1 - $54 32%
Self Pay 50 $1 - $54 32%
Aetna $2 - $93 63%
Caresource Marketplace Exchange $2 - $5 63%
Cigna $2 - $99 63%
Clover Health $2 - $3 63%
Health One Alliance $2 - $5 63%
Hospice $2 - $3 63%
Medicare (plans) $2 - $3 63%
Misc Commercial Insurance Plans $2 - $97 63%
Misc Non Contracted Commercial Plans $2 - $108 63%
Peach State Health Plan $2 63%
Self Pay $2 - $97 63%
Tricare $2 - $3 63%
UnitedHealthcare $2 - $91 63%
Va Contract $2 63%
Wellcare $2 - $5 63%
Zelis Network Solutions $2 - $6 63%
Pruitt Health Premier $3 95%
Amerigroup $4 126%
Medicaid / KanCare $4 126%
Caresource $5 158%
Ga Workers Comp $5 158%
Peachstate $5 158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 E 18Th Street, Tifton, GA 31794
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals