Urinalysis (automated, with microscopy)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $3
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.95x 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 |
|---|---|---|
| Vc Hope | $3 | 95% |
| Blue Cross Blue Shield | $3 | 95% |
| Smarthealth | $3 - $4 | 95% |
| Va | $3 | 95% |
| UnitedHealthcare | $3 - $9 | 95% |
| Medicare (plans) | $3 | 95% |
| Humana | $3 | 95% |
| Cigna | $5 | 158% |
| Medicaid / KanCare | $5 | 158% |
| Aetna | $10 - $11 | 315% |
| Coventry City Of Wichita | $13 | 410% |
Consumer Guidance & Cost Commentary
For the CPT code 81001, Urinalysis (automated, with microscopy), at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates are $3.00, which is slightly lower than the Medicare benchmark of $3.17. This service is covered by 11 different payers, including major carriers like UnitedHealthcare, Aetna, and Blue Cross Blue Shield, as well as Medicare plans. While commercial negotiated rates often include administrative overhead that can inflate the final cost, the facility's rate here aligns closely with the federal baseline, suggesting a transparent pricing structure for in-network members.
Patients should be aware that cash-pay options are not listed for this specific code, so there is no direct comparison to cash prices or potential prompt-pay discounts available in the current data. However, if you have a high-deductible plan, it is always advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts before scheduling, as these upfront fees can sometimes be lower than the insurance negotiated rate. Additionally, if you receive a bill from an out-of-network provider at this facility, remember that the No Surprises Act protects you from balance billing for emergency and non-emergency services, and you should request an itemized audit if you believe any charges are unbundled or for services not rendered.