Urinalysis (automated, with microscopy)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $40
- Cash Discount Price: $13
- vs. Medicare Baseline: 12.62x 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 1262% of the Medicare baseline (a markup of 1162%). 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 |
|---|---|---|
| Meritain Health [503200039] | $28 - $40 | 883% |
| Alt Wppa [5032000964] | $28 | 883% |
| Wppa [503200056] | $28 | 883% |
| Alt Carelon Behavioral Health [503200905] | $33 | 1041% |
| Cigna | $40 - $53 | 1262% |
| Aetna | $40 | 1262% |
| Aha-Healthcare Preferred [503200050] | $40 | 1262% |
| National Assn Letter Carriers [503200019] | $40 | 1262% |
| Php [503200005] | $40 | 1262% |
| Allied National [503999937] | $40 | 1262% |
| First Health [5032000110] | $40 | 1262% |
| Alt Meritain Health [503999911] | $40 | 1262% |
| Correct Care Solutions [50311253] | $46 | 1451% |
| Workers Comp [503999901] | $56 | 1767% |
| Usa Managed Care [503999030] | $59 | 1861% |
Consumer Guidance & Cost Commentary
For this urinalysis procedure at the University of KS Health System Great Bend Campus, the cash price of $13.00 is significantly lower than the facility's negotiated rates, which range from $28 to $59 depending on the insurance plan. While the facility's cash rate is well below the state average, patients with high-deductible plans should consider paying out-of-pocket upfront, as the cash price is often cheaper than the insurance negotiated rate. To secure this lower amount, patients should explicitly ask the billing department for "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fees can bypass the administrative costs and higher negotiated rates associated with insurance claims.
It is important to understand that commercial insurance rates are often inflated by administrative overhead and contract dynamics, making them higher than the Medicare benchmark of $3.17 for this service. Although the facility's cash rate is competitive, patients should be aware of balance billing risks if they receive care from out-of-network providers, even at an in-network hospital, where the provider could bill the difference between the full charge and the insurance allowed amount. To avoid unexpected costs, patients should request a detailed, itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included, ensuring they are only paying for the actual care received.