CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Holy Family Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Holy Family Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 100 N River Rd, Des Plaines, IL.
Cash / Self-Pay
$3

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $3 (95%)
Insurance Median: $3 (95%)
Cash: $3 (95% of Medicare)
Ins. Median: $3 (95% 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 $2 - $5 63%
Blue Cross Blue Shield $2 - $4 63%
Cigna $2 63%
Countycare $2 63%
Humana $2 - $3 63%
Medicaid / KanCare $2 63%
Meridian $2 - $3 63%
Molina $2 - $5 63%
Celtic (Wellcare) $3 95%
Clear Spring Health Of Illinois $3 95%
Devoted Health $3 95%
Essential Health Partners $3 - $4 95%
Illinois Physicians Alliance $3 95%
Longevity Health Plan Of Illinois $3 95%
Medicare (plans) $3 95%
Provider Partners Health Plan (Pphp) $3 95%
Ravenswood Physicians Associates Ipa $3 95%
Resurrection Physicians Provider Group Ipa $3 - $4 95%
Self-Pay $3 95%
Tricare $3 95%
United Behavioral Health $3 95%
UnitedHealthcare $3 - $4 95%
Zing Health Provider Network $3 95%
Access Community Health Network $4 126%
Ambetter / Centene $5 158%
Clifton Health Systems $5 158%
Imagine Health Network $5 158%
Coventry $16 505%
Health Link, Inc. $16 505%
Workers Comp $16 505%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 N River Rd, Des Plaines, IL 60016
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL