Urinalysis (automated, with microscopy)
Facility: University Of Kansas Hospital
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $12
- Cash Discount Price: $4
- vs. Medicare Baseline: 3.79x 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 379% of the Medicare baseline (a markup of 279%). 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 |
|---|---|---|
| Larned State Hospital [503200090] | $5 - $6 | 158% |
| Accarent Health [503999034] | $8 - $10 | 252% |
| Alt Carelon Behavioral Health [503200905] | $8 - $10 | 252% |
| Health Plan Inc [503999941] | $8 - $9 | 252% |
| Php [503200005] | $10 - $14 | 315% |
| Alt Wppa [5032000964] | $10 - $12 | 315% |
| Inter-Americas Insurance [503999032] | $10 - $12 | 315% |
| Geha [503200036] | $10 - $12 | 315% |
| Healthlink [503200007] | $10 - $14 | 315% |
| Allied National [503999937] | $10 - $11 | 315% |
| Cigna | $10 - $15 | 315% |
| Cerner [503200038] | $10 - $12 | 315% |
| Med-Pay [503200040] | $10 - $12 | 315% |
| Coeur Plan Services [503301517] | $11 - $13 | 347% |
| Blue Cross Blue Shield | $11 - $15 | 347% |
| Ascension Living Hope [503201517] | $11 - $13 | 347% |
| Correct Care Solutions [50311253] | $11 - $13 | 347% |
| Aha-Healthcare Preferred [503200050] | $11 - $13 | 347% |
| First Health [5032000110] | $11 - $13 | 347% |
| Consolidated Billing [50311256] | $11 - $13 | 347% |
| Orscheln Industries [503201608] | $12 - $14 | 379% |
| Alt Lineco [5032000976] | $12 - $15 | 379% |
| Empire Plan/Nyship [503200705] | $12 - $15 | 379% |
| Alt Lucent Health Solutions [503202603] | $12 - $15 | 379% |
| Meritain Health [503200039] | $13 - $16 | 410% |
| Point Comfort Underwriters [503200018] | $13 - $15 | 410% |
| Quiktrip [5032000412] | $13 - $15 | 410% |
| Century Health Solutions [503200054] | $13 - $15 | 410% |
| Wppa [503200056] | $13 - $16 | 410% |
| Sanford Health Plan [503999027] | $14 - $17 | 442% |
| Usa Managed Care [503999030] | $14 - $17 | 442% |
| Three Rivers Provider Network [503999029] | $14 - $17 | 442% |
| Plan Care America [503999026] | $14 - $17 | 442% |
| Employers Health Network [503999025] | $14 - $17 | 442% |
| Workers Comp [503999901] | $15 - $82 | 473% |
Consumer Guidance & Cost Commentary
For the automated urinalysis with microscopy service at University Of Kansas Hospital, the negotiated rates for in-network payers range from $5 to $82, with most commercial plans falling between $10 and $17. This is notably higher than the facility's cash price of $4.00 and the Medicare benchmark of $3.17. While many insurance plans negotiate rates that exceed the cash amount, patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the insurance allowed amount often surpasses the self-pay rate. It is important to note that the facility is a government-owned acute care hospital in Kansas City, KS, and while the facility holds a 5-star rating, the significant gap between cash and negotiated rates suggests that paying out-of-pocket could result in substantial savings compared to standard insurance billing.
Patients should be aware that insurance billing processes can sometimes lead to unexpected costs if not managed carefully. Although the No Surprises Act protects against balance billing for emergency services at in-network facilities, it is crucial to verify your specific plan's deductible status before scheduling, as you may be responsible for the full negotiated rate if your deductible has not been met. To minimize costs, we strongly recommend asking the hospital about "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront, and requesting an itemized bill to ensure no errors or unbundled charges are included. Always confirm whether your specific procedure is classified as self-pay prior to check-in to avoid automatic claims submission, which could void any potential cash discounts.