Urinalysis (automated, with microscopy)
Facility: Morris County Hospital
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $35
- Cash Discount Price: $54
- vs. Medicare Baseline: 11.04x 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 1104% of the Medicare baseline (a markup of 1004%). 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 |
|---|---|---|
| Va Ccn-All Plans | $3 | 95% |
| Providrs Care (Wppa)(Nexus)-All Plans | $3 | 95% |
| Aetna | $5 | 158% |
| Blue Cross Blue Shield | $9 - $35 | 284% |
| Coventry Mcr | $35 | 1104% |
| UnitedHealthcare | $35 - $90 | 1104% |
| Choice Care Mcr Adv-All Plans | $35 | 1104% |
| Cigna | $65 | 2050% |
| Multiplan-All Plans | $81 | 2555% |
| Coventry Comm-All Other Plans | $81 | 2555% |
Consumer Guidance & Cost Commentary
For the automated urinalysis with microscopy at Morris County Hospital in Council Grove, KS, the cash median price is $54.00, which is lower than the facility's gross charge of $90.00. While the facility is a Critical Access Hospital with government local ownership, patients should be aware that insurance negotiated rates vary significantly by carrier; for instance, UnitedHealthcare and Blue Cross Blue Shield have negotiated ranges extending up to $90.00 and $35.00 respectively, which can exceed the cash price. In cases where your insurance plan has a high deductible or you have not yet met your out-of-pocket maximum, paying the cash median of $54.00 upfront may be more cost-effective than relying on insurance, which could result in a higher allowed amount or balance billing if out-of-network services are involved.
To maximize savings, it is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can reduce the final bill by 20% to 50% if paid in full within a short window. Although the facility's Medicare benchmark is $3.17, commercial rates often reflect administrative costs and network tiering, so comparing the negotiated rates against the Medicare amount provides a clearer picture of the markup. If you receive a bill that includes charges for services not rendered or unbundled components, request a formal itemized audit to identify errors before payment, as over 80% of hospital bills contain discrepancies that can be resolved through written dispute with the billing supervisor.