CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Norton Scott Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $26
Cash Discount Price: $21
vs. Medicare Baseline: 8.20x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Norton Scott Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 8.20x the Medicare baseline. Located in 1451 N Gardner St, Scottsburg, IN.

Cash / Self-Pay

$21

Average discount available for prompt cash payment at this facility.

Insurance Median

$26

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: $21 (662%)

Insurance Median: $26 (820%)

Cash: $21 (662% of Medicare)

Ins. Median: $26 (820% 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 820% of the Medicare baseline (a markup of 720%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$3 - $61	95%
Caresource Indiana Healthy Indiana Plan (Hip)	$3	95%
Caresource Indiana Hoosier Healthwise (Hhw)	$3	95%
Caresource Indiana Just4Me	$3	95%
Managed Health Services (Mhs)	$3 - $25	95%
Managed Health Services (Mhs) Hoosier Care Connect	$3	95%
Mdwise Hoosier Healthwise (Hhw)	$3	95%
Molina Healthcare	$3	95%
UnitedHealthcare	$3 - $62	95%
Managed Health Services (Mhs) Healthy Indiana Plan (Hip)	$25	789%
Mdwise Healthy Indiana Plan (Hip)	$25	789%
Communicare Advantage	$26	820%
Aetna	$66	2082%
Multiplan	$83 - $88	2618%
Cigna	$88	2776%
Encore Health Network	$88	2776%
Prime Health	$88	2776%
Ppom	$92	2902%
Intercommunity Health Network (Ihn)	$94	2965%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $21.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 81001.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Norton Scott Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 81001.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.