Urinalysis (automated, with microscopy)
Facility: Labette Health
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $5
- Cash Discount Price: $32
- vs. Medicare Baseline: 1.58x 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.
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 |
|---|---|---|
| Multiplan | $3 - $69 | 95% |
| Healthy Blue | $3 | 95% |
| UnitedHealthcare | $3 - $71 | 95% |
| Blue Cross Blue Shield | $3 - $10 | 95% |
| Humana | $3 | 95% |
| Wellcare | $3 | 95% |
| Medicaid / KanCare | $3 | 95% |
| Ambetter / Centene | $4 | 126% |
| Uhccp | $5 | 158% |
| Montgomery County | $6 - $27 | 189% |
| Choicecare (First Health Network) | $73 | 2303% |
| Health Partners Of Kansas, Inc | $73 | 2303% |
Consumer Guidance & Cost Commentary
For the CPT code 81001, Urinalysis (automated, with microscopy), Labette Health in Parsons, KS, lists a cash price of $32.00, which is significantly lower than the facility's gross charge of $45.00. While the facility is a government-owned acute care hospital, patients should note that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, UnitedHealthcare and Blue Cross Blue Shield have negotiated ranges starting at $3.00, but these figures represent the insurer's allowed amount, not necessarily the final patient cost if deductibles or co-pays apply. In cases where a patient has a high deductible or is self-pay, the cash price of $32.00 may be more affordable than the negotiated rate if the insurance allowed amount is higher than the cash price.
To ensure you are not overcharged, it is crucial to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, patients should inquire about prompt-pay discounts, which can reduce the bill by 20% to 50% if paid upfront, bypassing the costly insurance claims cycle. When comparing prices, always use the Medicare amount of $3.17 as a benchmark rather than the facility's gross charge, as commercial rates often run 200% to 300% above this baseline. Finally, if you receive a balance bill from an out-of-network provider at this facility, you may be protected under the No Surprises Act, which prohibits balance billing for emergency and non-emergency