Urinalysis (automated, with microscopy)
Facility: Goodland Regional Medical Center
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $32
- Cash Discount Price: $32
- vs. Medicare Baseline: 10.09x 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 1009% of the Medicare baseline (a markup of 909%). 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% |
| Wppa | $30 - $32 | 946% |
| UnitedHealthcare | $32 | 1009% |
Consumer Guidance & Cost Commentary
For the CPT code 81001, representing an automated urinalysis with microscopy, Goodland Regional Medical Center in Goodland, KS, lists a cash median price of $32.00 and a negotiated median of $32.00. This facility, a Critical Access Hospital owned by the local government, reports a gross charge of $35.00. When compared to the Medicare benchmark of $3.17, the facility's cash rate is 10.1 times higher than the federal baseline, while the negotiated rates for payers such as Blue Cross Blue Shield, Wppa, and UnitedHealthcare range between $10.00 and $32.00 depending on the specific plan. For patients with high-deductible plans, paying the cash price of $32.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates for some commercial payers exceed the cash amount.
To ensure you receive the most accurate pricing, it is important to request an itemized bill before finalizing payment, as summary bills often obscure individual code costs and potential errors. If you are self-paying, ask the billing department about prompt-pay discounts, which can reduce the total cost by offering immediate liquidity incentives. Additionally, while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services at in-network facilities, you should verify that all ancillary services, such as specific lab components, are covered under your plan's network agreements to avoid unexpected charges. Always confirm your deductible status and request a written audit dispute if any charges appear incorrect or unbundled.