Urinalysis (automated, with microscopy)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $27
- Cash Discount Price: $20
- vs. Medicare Baseline: 8.52x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 852% of the Medicare baseline (a markup of 752%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Lucent Health [6000] | $27 | 852% |
| Hooray Health [8000] | $27 | 852% |
| Blue Cross Blue Shield | $27 | 852% |
| Aetna | $27 | 852% |
| Web Tpa [2115] | $27 | 852% |
| Black Lung [6055] | $27 | 852% |
| Oncology Patient Assistance Programs [2295] | $27 | 852% |
| Healthcare Highways [2210] | $27 | 852% |
| Department Of Corrections [1340] | $33 | 1041% |
| Cigna | $38 | 1199% |
| Healthpartners [1500] | $38 | 1199% |
| American Postal Workers Union [1070] | $38 | 1199% |
| National Association Of Letter Carriers [1695] | $38 | 1199% |
| Humana | $39 | 1230% |
| American Healthcare [1055] | $51 | 1609% |
| First Health [1375] | $51 | 1609% |
| Multiplan [1680] | $51 | 1609% |
| Administrative Concepts [1005] | $51 | 1609% |
| Coventry Healthcare [1320] | $54 | 1703% |
| Ks Disability Determination [6090] | $66 | 2082% |
Consumer Guidance & Cost Commentary
For the CPT code 81001, "Urinalysis (automated, with microscopy)," the University Of Kansas Health System - St Francis Campus in Topeka, KS, lists a gross charge of $66.00. This amount represents the facility's maximum billed rate, which is significantly higher than the state average for this service. While the facility offers a cash median price of $20.00 and a negotiated rate of $27.00 for in-network plans, patients should be aware that commercial insurance rates often exceed cash prices due to administrative overhead and contract structures. If you have a high-deductible plan or have not yet met your deductible, paying the cash price of $20.00 upfront may result in lower out-of-pocket costs compared to having your insurance negotiate a rate that could still be higher than the cash amount.
It is important to distinguish between the facility's gross charges and the actual amounts paid by insurers. The data indicates that while the gross charge is $66.00, the median amount paid by payers is also $66.00, suggesting that for many in-network members, the full negotiated rate is being utilized. However, the Medicare benchmark for this procedure is only $3.17, highlighting that commercial rates are substantially above the federal baseline. To minimize costs, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the bill by 20% to 50%. Additionally, if you receive a bill that includes charges for out-of-network services at this in-network facility, you may be entitled to protections under the No Sur