CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Ascension St Vincent Jennings

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Ascension St Vincent Jennings is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 301 Henry St, North Vernon, IN.
Cash / Self-Pay
$133

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: $133 (4196%)
Insurance Median: $3 (95%)
Cash: $133 (4196% 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
Blue Cross Blue Shield $2 - $4 63%
Encore Exclusive $2 63%
Patoka Valley Tier 1 $2 63%
Patoka Valley Tier 2 $2 63%
Aetna $3 95%
Corizon $3 95%
Helping Hand Old Order $3 95%
Humana $3 - $7 95%
Immergrun $3 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
Mhs Care Connect $3 95%
Personalized Care $3 95%
Secure Horizons-Pacificare $3 95%
Secure Horizons-Unicare $3 95%
Smarthealth Ppo $3 - $5 95%
UnitedHealthcare $3 - $4 95%
Smarthealth Ppo/Hdhp 20161001 $5 158%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Henry St, North Vernon, IN 47265
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals