CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Sartori Memorial Hospital, Inc

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $6
  • Cash Discount Price: $183
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Sartori Memorial Hospital, Inc is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $183. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.89x the Medicare baseline. Located in 515 College Street, Cedar Falls, IA.
Cash / Self-Pay
$183

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $183 (5773%)
Insurance Median: $6 (189%)
Cash: $183 (5773% of Medicare)
Ins. Median: $6 (189% 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
Aetna $3 - $9 95%
Blue Cross Blue Shield $3 95%
Geha $3 95%
Iowa Total Care $3 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
UnitedHealthcare $3 - $71 95%
Amish Hospital Aid $4 126%
Ambetter / Centene $5 158%
Centivo $5 158%
Oscar $5 158%
Claimdoc $6 189%
Nova $6 189%
Allied Benefit Systems $9 284%
Asr Health Benefits $9 284%
Coventry $9 284%
First Health $9 284%
Lucent Health $9 284%
Luminare Health $9 284%
Medical Mutual $9 284%
Meritain $9 284%
Webtpa $9 284%
Health Choices $17 536%
Medical Associates $17 536%
Health Partners $23 726%
Auxiant $50 1577%
Cigna $50 1577%
Medica $50 1577%
Midlands $50 1577%
Midlands Choice $50 1577%
Iowa Dept Of Public Health $71 2240%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 College Street, Cedar Falls, IA 50613
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals