CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Memorial Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $88
Cash Discount Price: $146
vs. Medicare Baseline: 27.76x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Memorial Medical Center is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 27.76x the Medicare baseline. Located in 701 N First St, Springfield, IL.

Cash / Self-Pay

$146

Average discount available for prompt cash payment at this facility.

Insurance Median

$88

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: $146 (4606%)

Insurance Median: $88 (2776%)

Cash: $146 (4606% of Medicare)

Ins. Median: $88 (2776% 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 2776% of the Medicare baseline (a markup of 2676%). 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
Health Alliance	$1 - $95	32%
Veterans Administration	$2	63%
Aetna	$3 - $111	95%
Blue Cross Blue Shield	$3 - $146	95%
Humana	$3 - $88	95%
Medicaid / KanCare	$3	95%
Medicare (plans)	$3 - $146	95%
Molina	$3	95%
Tricare	$3	95%
UnitedHealthcare	$3 - $91	95%
Healthlink	$11 - $92	347%
Commercial Workers Compensation	$48	1514%
Illinois Workers Compensation	$50	1577%
Current Health Network Ppo	$66	2082%
Cigna	$77	2429%
Phcs/Multiplan	$79 - $88	2492%
6 Degrees Health	$88	2776%
Hopetrust	$88	2776%
Hst	$88	2776%
Magellan	$88	2776%
Consociate	$95	2997%
Hfn	$95	2997%
Preferred Plan	$110	3470%
Soi Mcfarland	$110	3470%
Soi Rushville	$110	3470%
Corvel	$117	3691%
Methodist First Choice	$117	3691%
Mutual Medical Plans	$124	3912%
Liability	$146	4606%

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 $146.
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 Memorial Medical Center 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.