Urinalysis (automated, with microscopy)
Facility: Logan County Hospital
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $34
- Cash Discount Price: $10
- vs. Medicare Baseline: 10.73x 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 1073% of the Medicare baseline (a markup of 973%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $10 | 315% |
| Humana | $21 | 662% |
| Health Partners - All Plans | $48 | 1514% |
| Medicaid / KanCare | $50 | 1577% |
Consumer Guidance & Cost Commentary
For the CPT code 81001, Urinalysis (automated, with microscopy), Logan County Hospital in Oakley, KS, has a gross charge of $50.00. This facility is a Critical Access Hospital owned by the local government. When compared to the national average, the facility's cash median price of $10.00 is significantly lower than the state average of $34.00. The negotiated rates for this service vary by payer, ranging from $10.00 with Blue Cross Blue Shield to $48.00 with Health Partners. It is important to note that while insurance plans often negotiate higher rates to cover administrative costs and claims processing, paying cash upfront can sometimes result in a lower out-of-pocket cost, particularly for patients with high-deductible plans.
Patients should be aware that the Medicare benchmark for this service is $3.17, which serves as a baseline for evaluating the facility's pricing markup. The facility's cash rate of $10.00 is approximately 3.1 times the Medicare amount, while the median negotiated rate of $34.00 is roughly 10.7 times the Medicare amount. To minimize costs, patients are encouraged to ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the total bill by 20% to 50%. Additionally, if a patient receives care from an out-of-network provider at this facility, they may face balance billing for the difference between the allowed amount and the full charge, though the No Surprises Act provides protections for emergency and non-emergency services at in-network facilities.