Urinalysis (automated, with microscopy)
Facility: Kingman Healthcare Center
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $1
- Cash Discount Price: $2
- vs. Medicare Baseline: 0.32x 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 |
|---|---|---|
| Wellcare | $1 | 32% |
| UnitedHealthcare | $1 - $3 | 32% |
| Celtic Insurance Company | $1 | 32% |
| Medicaid / KanCare | $1 - $3 | 32% |
| Humana | $1 | 32% |
| Ambetter / Centene | $1 | 32% |
| Aetna | $3 | 95% |
| Healthy Blue | $3 | 95% |
| Cigna | $3 | 95% |
| Triwest | $3 | 95% |
| Health Partners | $3 | 95% |
Consumer Guidance & Cost Commentary
For the CPT code 81001, Urinalysis (automated, with microscopy), Kingman Healthcare Center in Kingman, KS, lists a cash median price of $2.00, which is lower than the Medicare benchmark of $3.17. This facility, a Critical Access Hospital owned by a voluntary non-profit, reports a median negotiated rate of $1.00 across its 11 payer contracts, including Wellcare, UnitedHealthcare, and Medicaid/KanCare. While the cash price is the lowest figure available, patients with high-deductible plans should verify if their specific insurance negotiated rate exceeds the cash amount, as paying out-of-pocket could result in lower total costs. It is also important to note that the cash price is significantly lower than the gross charge of $3.00, highlighting the potential savings available through direct payment or prompt-pay discounts.
When reviewing your bill, ensure you request a full itemized statement rather than accepting a summary invoice that obscures individual line items, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Since the facility's negotiated rates are well below the gross charges, any commercial rate you receive should be compared directly to the Medicare benchmark of $3.17 to determine if the markup is fair, rather than comparing it to the inflated list price. If you are self-paying, ask specifically about prompt-pay discounts before scheduling your visit, as these upfront incentives can reduce the final cost by 20% to 50% and bypass the administrative overhead associated with insurance claims processing.