CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Saint Joseph Regional Medical Center - Plymouth

Billing Code: 81001 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4
about 1.3× the $3 Medicare rate · typically $4–$5
modeled estimate · not a bill or quote
What this hospital charges insurers
$5
Above the fair price
about $1 over the fair price · 1.7× Medicare
Medicare pays $3 Fair price $4 This hospital $5 Hospital's list price $87

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $2 Priciest $5

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a Urinalysis (automated, with microscopy) is about $4 (about 1.3× the $3 Medicare rate). Saint Joseph Regional Medical Center - Plymouth charges insurers about $5 — above the fair price. Located in Plymouth, IN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $4. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2 - $55 63%
Blue Cross Blue Shieldmajor $2 - $6 63%
Aetnamajor $2 - $42 63%
Cignamajor $63 1987%
AvMed $78 2461%
CareSource $5 158%
Dean Health Plan $78 2461%
GEHA $55 1735%
Health Net $63 - $67 1987%
HealthPartners $63 1987%
Medical Mutual $42 1325%
Meridian $3 95%
MVP Health Care $63 1987%
Paramount $78 2461%
Priority Health $63 1987%
+ 53 smaller / regional plans $3 - $87
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1915 Lake Ave, Plymouth, IN 46563
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals