CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Atrium Health Navicent Peach

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $37
Cash Discount Price: $31
vs. Medicare Baseline: 11.67x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Atrium Health Navicent Peach is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 11.67x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $31 (978%)

Insurance Median: $37 (1167%)

Cash: $31 (978% of Medicare)

Ins. Median: $37 (1167% 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 1167% of the Medicare baseline (a markup of 1067%). 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
Blue Cross Blue Shield	$4 - $13	126%
Cigna	$7 - $45	221%
Humana	$8 - $53	252%
Securehealth	$9 - $40	284%
Aetna	$13 - $37	410%
Care Source	$13	410%
Clover	$13	410%
Eon Health	$13	410%
Georgia Health Advantage	$13	410%
Pruitt Health	$13	410%
UnitedHealthcare	$13 - $39	410%
Ambetter / Centene	$19 - $32	599%
Alliant	$30	946%
Multiplan	$40 - $50	1262%
Novanet	$50	1577%
Three Rivers Provider Network	$53	1672%
Beechstreet	$58	1830%

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 $31.
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 Atrium Health Navicent Peach 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.