CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Hammond Henry Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $92
Cash Discount Price: $113
vs. Medicare Baseline: 29.02x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Hammond Henry Hospital is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 29.02x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $113 (3565%)

Insurance Median: $92 (2902%)

Cash: $113 (3565% of Medicare)

Ins. Median: $92 (2902% 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 2902% of the Medicare baseline (a markup of 2802%). 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
Quad City Community Hc-All Plans	$4	126%
Aetna	$6 - $94	189%
Blue Cross Blue Shield	$6 - $75	189%
Meridian Health Plan-All Plans	$6	189%
Geneseo Good Samaritan Village Op Only-All Plans	$27	852%
Tricare	$33	1041%
Health Alliance Mcare Adv	$36	1136%
UnitedHealthcare	$36 - $92	1136%
Humana	$37 - $112	1167%
Wellmark Of Ia-All Plans	$62	1956%
Springfield Armory-All Plans	$81	2555%
Ambetter / Centene	$88	2776%
Health Alliance-All Other Plans	$94	2965%
Multiplan Integrated Hp	$94	2965%
Cigna	$96	3028%
Multiplan Pponext	$100	3155%
Osf Direct Access Network-All Plans	$100	3155%
Multiplan-All Other Plans	$106	3344%
Corvel-All Plans	$112	3533%
Healthsmart Adult-All Other Plans	$112	3533%
Healthsmart Pediatric	$112	3533%
Hfn-All Plans	$112	3533%
Multiplan Beech Street	$112	3533%
Multiplan Phcs Adult	$112	3533%
Multiplan Phcs Pediatric	$112	3533%
Usa Mco-All Plans	$112	3533%

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 $113.
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 Hammond Henry Hospital 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.