CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Lutheran Hospital of Indiana

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $6
  • Cash Discount Price: $5
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Lutheran Hospital of Indiana is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.89x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$5

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: $5 (158%)
Insurance Median: $6 (189%)
Cash: $5 (158% 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 $1 - $65 32%
Amish Aid $1 - $41 32%
Blue Cross Blue Shield $1 - $50 32%
Cigna $1 - $49 32%
Ky Work Comp $1 - $34 32%
Lutheran Preferred $1 - $54 32%
Lutheran Preferred Network $1 - $82 32%
Physicians Health Plan Of Northern Indiana $1 - $54 32%
Sagamore $1 - $74 32%
Self Pay $1 - $49 32%
UnitedHealthcare $1 - $67 32%
Encore Ppo $2 - $66 63%
Lutheran Network $2 - $68 63%
Multiplan $2 - $113 63%
Prime Health Services $2 - $102 63%
Advantage Health Solutions $3 - $113 95%
Allied Benefit Systems $3 - $122 95%
Care Source $3 95%
Department Of Veterans Affairs $3 95%
Encore Health Network $3 - $122 95%
Evolutions $3 - $122 95%
Humana $3 95%
In Dept Of Correction $3 95%
Iu Health Plan $3 95%
Managed Health Services $3 - $6 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
Node Devoted Health Mcr Adv $3 95%
Node Hospice Non Par Agree $3 95%
Node Pphp Mcr Adv $3 95%
Node Va $3 95%
Php Freedom Network $3 - $6 95%
Tricare $3 95%
Veterans Eval Services $3 95%
Us Department Of Labor $4 126%
Align Network $5 158%
Lutheran Advanced Network $5 158%
Node Lutheran Network $5 - $6 158%
Node Lutheran Preferred Fixed 2 $5 158%
Encore Work Comp In $6 189%
Node Encore Kba Epo $8 252%
Node Encore Kba Ppo $10 315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals