Urinalysis (automated, with microscopy)
Facility: Kiowa County Memorial Hospital
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $43
- Cash Discount Price: $41
- vs. Medicare Baseline: 13.56x 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 1356% of the Medicare baseline (a markup of 1256%). 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 - $47 | 315% |
| UnitedHealthcare | $33 - $53 | 1041% |
| Aetna | $36 - $47 | 1136% |
| Medica Prime Mcare Cost-All Plans | $36 - $47 | 1136% |
| Humana | $36 - $47 | 1136% |
| Celtic Comml Exchange-All Other Plans | $36 - $47 | 1136% |
| Health Partners Of Ks-All Plans | $36 - $47 | 1136% |
| Medicaid / KanCare | $41 - $53 | 1293% |
| Providrs Care/Wppa-All Plans | $62 - $80 | 1956% |
Consumer Guidance & Cost Commentary
For the automated urinalysis with microscopy (CPT 81001) at Kiowa County Memorial Hospital in Greensburg, KS, the facility's cash median price of $41.00 is notably higher than the state average of $36.00. While the hospital is a government-owned Critical Access Hospital, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, UnitedHealthcare plans in-network for this service have negotiated rates ranging from $33 to $53, which can surpass the cash price for those with high-deductible plans. Because the facility is a Critical Access Hospital, the No Surprises Act provides federal protection against balance billing for out-of-network services at in-network facilities, ensuring that unexpected bills for emergency or non-emergency care are not charged to the patient.
To maximize savings, patients should verify their specific plan's allowed amount before scheduling, as in-network rates vary significantly across payers; for example, Medicaid/KanCare plans have negotiated rates between $41 and $53, while Medicaid/KanCare plans have negotiated rates between $41 and $53. If you have not yet met your deductible, you may be responsible for the full negotiated rate, which could be higher than the cash price. We recommend contacting the hospital directly to inquire about self-pay or prompt-pay discounts, which can reduce the bill by 20% to 50% if paid upfront. Additionally, since the facility is a Critical Access Hospital, you may be eligible for additional discounts under the Critical Access Hospital Act, so always ask about all available financial assistance programs prior to receiving care.