Urinalysis (automated, with microscopy)
Facility: Menorah Medical Center
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $6
- Cash Discount Price: $467
- vs. Medicare Baseline: 1.89x 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 |
|---|---|---|
| Cigna | $2 - $373 | 63% |
| Celtic | $3 | 95% |
| Wellcare | $3 | 95% |
| Triwest Health Alliance | $3 | 95% |
| Coventry | $3 - $188 | 95% |
| Medicaid / KanCare | $3 | 95% |
| Devoted Health | $3 | 95% |
| Aetna | $3 - $238 | 95% |
| Humana | $3 - $8 | 95% |
| Blue Cross Blue Shield | $3 - $210 | 95% |
| Amerigroup | $3 | 95% |
| Home State Health Plan | $3 | 95% |
| Healthyblue | $3 | 95% |
| Unicare | $3 | 95% |
| Pyramid Life | $3 | 95% |
| United | $3 - $210 | 95% |
| Oscar | $5 | 158% |
| Multiplan | $6 - $345 | 189% |
| Corvel Corporation | $7 - $303 | 221% |
| Oha Network | $7 - $233 | 221% |
| Ambetter / Centene | $87 | 2744% |
| Nhc Advantage | $89 | 2808% |
| Wppa Providrs Care Network | $93 | 2934% |
| Universal Healthcare | $163 | 5142% |
| Coventry Kc Mo | $191 | 6025% |
| College Park Family Care Center | $201 | 6341% |
| Cco, Inc. | $350 | 11041% |
| Focus Healthcare Mgmt, Inc | $350 | 11041% |
Consumer Guidance & Cost Commentary
For the automated urinalysis procedure at Menorah Medical Center in Overland Park, KS, the cash price is $467, which matches the facility's cash median. This rate is significantly higher than the Medicare benchmark of $3.17, reflecting a markup of 1.9 times the federal baseline. While commercial insurance plans like Cigna and Celtic offer negotiated rates ranging from $2 to $373, these amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the insurance negotiated ceiling can sometimes be higher than the self-pay amount, provided they have not yet met their deductible.
To minimize costs, patients should proactively request self-pay or prompt-pay discounts before scheduling, as these can reduce the bill by 20% to 50% by bypassing insurance claims processing fees. It is also important to verify the specific allowed amount for your insurance plan, as in-network rates vary widely among the 28 payers listed, with some organizations charging up to $350 while others charge as low as $2. Since over 80% of hospital bills contain errors, consumers are encouraged to request a detailed itemized statement rather than accepting summary bills, ensuring that all charges are accurate and that no services were unbundled or billed in error.