CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Doctors Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $119
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Doctors Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$119

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: $119 (3754%)
Insurance Median: $3 (95%)
Cash: $119 (3754% 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
Absolute Total Care $3 - $22 95%
Aetna $3 - $66 95%
Blue Cross Blue Shield $3 95%
Caresource $3 95%
Clover $3 95%
Coventry $3 95%
Devoted Health $3 95%
Eon Health $3 95%
Friday Health $3 95%
Georgia Assurance $3 95%
Health Net $3 95%
Healthspring $3 95%
Humana $3 95%
Regency Hospice $3 95%
Shared Health $3 95%
St Joseph Hospice $3 95%
United $3 - $54 95%
Wellcare $3 - $24 95%
Ambetter / Centene $4 126%
Blue Choice $4 126%
Health One Alliance $4 126%
Qtc Medical Group $4 126%
Dept Of Community Health $5 158%
Amerigroup $17 536%
Nhc Advantage $23 726%
Pruitt Health $23 726%
Peach State $24 757%
Americas 1St Choice $33 1041%
Centurion $33 1041%
Medcost $60 - $76 1893%
Kaiser Permanente $65 2050%
Multiplan $72 - $108 2271%
Performax $81 2555%
First Health $90 2839%
Employer'S Health Network $96 3028%
Novanet $108 3407%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals