CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Hancock Regional Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $71
  • Cash Discount Price: $71
  • vs. Medicare Baseline: 22.40x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Hancock Regional Hospital is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 22.40x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$71

Average discount available for prompt cash payment at this facility.

Insurance Median
$71

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: $71 (2240%)
Insurance Median: $71 (2240%)
Cash: $71 (2240% of Medicare)
Ins. Median: $71 (2240% 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 2240% of the Medicare baseline (a markup of 2140%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Allwell Mcr Adv - All Plans $3 95%
Beech Street Mcr Adv $3 95%
Blue Cross Blue Shield $3 - $66 95%
Caresource Mcr Adv $3 95%
Communicare Mcr Adv - All Plans $3 95%
Humana $3 - $85 95%
Iu Health Mcr Adv $3 95%
Mhs/Mdwise Mcaid-All Plans $3 95%
Triwest - All Plans $3 95%
UnitedHealthcare $3 - $69 95%
Va Ccn - All Plans $3 95%
Ambetter / Centene $6 189%
Caresource Comm - All Other Plans $8 252%
Iu Health-All Other Plans $9 284%
Ascension - All Plans $67 2114%
Aetna $68 - $89 2145%
Cigna $71 2240%
Encore Encircle $71 2240%
Hancock Phys Network-All Plans $71 2240%
Unified Group Services- All Plans $71 2240%
Advantage Self Funded Ppo-All Other Plans $73 2303%
Healthmark/Healthchoice-All Plans $73 2303%
Sagamore-All Plans $73 2303%
Encore-All Other Plans $76 2397%
Consumers Life-All Plans $78 2461%
St Vincent Cmo-All Plans $78 2461%
Siho-All Plans $80 2524%
Great West-All Plans $82 2587%
Savility - All Plans $82 2587%
Cofinity/Ppom - All Plans $83 2618%
First Health/Coventry-All Plans $84 2650%
Mail Handlers-All Plans $84 2650%
Beech Street Ppo - All Other Plans $85 2681%
Golden Rule Ins-All Plans $85 2681%
Indiana Health Network-All Plans $85 2681%
Phcs-All Plans $85 2681%
Comm Hlth Alliance - All Plans $86 2713%
Multiplan-All Plans $87 2744%
Advantage Preferred Plus $89 2808%
Healthy Indiana Plan-All Plans $89 2808%
Copps - All Plans $183 5773%
Pro Health - All Plans $267 8423%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals