CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Marshall Browning Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $54
Cash Discount Price: $112
vs. Medicare Baseline: 17.03x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Marshall Browning Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 17.03x the Medicare baseline. Located in 900 North Washington Street, Du Quoin, IL.

Cash / Self-Pay

$112

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $112 (3533%)

Insurance Median: $54 (1703%)

Cash: $112 (3533% of Medicare)

Ins. Median: $54 (1703% 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 1703% of the Medicare baseline (a markup of 1603%). 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
Aetna	$6 - $127	189%
Blue Cross Blue Shield	$6 - $146	189%
Meridian Hp Mcaid - All Plans	$6	189%
Molina Mcaid - All Plans	$6	189%
Health Alliance Mcr Adv	$54	1703%
Humana	$54	1703%
UnitedHealthcare	$54 - $139	1703%
Wellcare Mcr Adv - All Plans	$54	1703%
Healthlink Hmo - All Other Plans	$112	3533%
Healthlink Ppo	$112	3533%
Cigna	$119	3754%
Health Alliance - All Other Plans	$136	4290%
Multiplan/Phcs - All Plans	$144	4543%
Zelis - All Plans	$144	4543%
Hope Trust - All Plans	$190	5994%

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 $112.
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 Marshall Browning 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.