CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: The Women's Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at The Women's Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $75 (2366%)
Insurance Median: $5 (158%)
Cash: $75 (2366% of Medicare)
Ins. Median: $5 (158% 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
Amish $1 - $8 32%
Blue Cross Blue Shield $2 - $6 63%
Aetna $3 - $29 95%
Alliance Coal $3 - $88 95%
Caresource $3 95%
Caresource Hip $3 95%
Caresource In $3 95%
Chamber Care $3 - $14 95%
Humana $3 95%
Iu Health $3 - $64 95%
Mdwise Hip $3 95%
Meridian Health Il $3 - $6 95%
Mhs $3 95%
Mhs Behavioral $3 95%
Molina Il $3 - $6 95%
Molina Ky $3 95%
Molina Ky Dual $3 95%
Passport Molina Ky $3 - $29 95%
Patoka Valley Health Care (80/20 Plan) $3 95%
Patoka Valley Health Care (90/10 Plan) $3 95%
UnitedHealthcare $3 - $102 95%
Wellcare Ky $3 - $29 95%
Allied National/Zelis - Freedom Plan $4 - $8 126%
Ambetter / Centene $4 - $5 126%
Caresource Marketplace (Just4Me) $4 - $5 126%
Hst $4 - $5 126%
One Care $4 - $89 126%
Claimdoc $5 158%
Encorecombined $5 - $89 158%
Encoreprime $5 - $87 158%
Hope Trust $5 158%
Noncontracted $5 158%
Cigna $6 - $92 189%
Claritev (Formerly Phcs/Mulitplan) $6 - $88 189%
First Health/Coventry $6 - $94 189%
Healthlink $6 - $108 189%
Sagamore $6 - $92 189%
Self Pay $8 - $75 252%
Center Care $14 - $99 442%
Immergrun $18 - $53 568%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals