Urinalysis (automated, with microscopy)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $3
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.95x 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 |
|---|---|---|
| Blue Cross Blue Shield | $3 | 95% |
| UnitedHealthcare | $3 - $9 | 95% |
| Vc Hope | $3 | 95% |
| Via Christi Research | $3 | 95% |
| Humana | $3 | 95% |
| Smarthealth | $3 - $4 | 95% |
| Medicare (plans) | $3 | 95% |
| Va | $3 | 95% |
| Saint Lukes Health Systems | $3 | 95% |
| Corizon | $4 | 126% |
| Medicaid / KanCare | $5 | 158% |
| Aetna | $10 | 315% |
| Coventry City Of Wichita | $13 | 410% |
Consumer Guidance & Cost Commentary
For the CPT code 81001, Urinalysis (automated, with microscopy), the facility's negotiated rates average $3.00, which is slightly lower than the Medicare benchmark of $3.17. This service is covered by 13 different payers, including major insurers like Blue Cross Blue Shield and UnitedHealthcare, as well as Medicare plans and state programs. While commercial negotiated rates often exceed cash prices due to administrative costs and contract structures, patients with high-deductible plans may find that paying out-of-pocket is more cost-effective if the facility's cash rate is lower than their insurance allowed amount. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary significantly by carrier and can sometimes be higher than what a self-pay patient would owe.
Patients should be aware that hospitals often issue summary bills that obscure individual charges, making it difficult to identify errors or unbundled services. To protect against unexpected costs, consumers should request a full, itemized bill that lists every CPT code and unit cost before agreeing to pay. Additionally, many facilities offer prompt-pay discounts for those who settle their balance in full upfront, which can reduce the total amount owed by 20% to 50%. If you receive a balance bill from an out-of-network provider at an in-network facility, you may be entitled to protections under the No Surprises Act, and you should dispute any surprise charges in writing rather than paying immediately to avoid unnecessary debt.