CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Deaconess Henderson Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Deaconess Henderson Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.17 (100%)
Cash / Self-Pay: $8 (252%)
Insurance Median: $3 (95%)
Cash: $8 (252% of Medicare)
Ins. Median: $3 (95% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $2 - $6 63%
Aetna $3 - $6 95%
Alliance Coal $3 95%
Caresource In $3 95%
Center Care Narrow $3 95%
Center Care Open Access $3 95%
Encircle/Encore Combined $3 - $5 95%
Encircle/Encore Prime $3 - $5 95%
Humana $3 95%
Iu Health Plans $3 - $6 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
Mhs Mco $3 95%
Molina Healthcare Of Ky $3 95%
Molina Healthcare Of Ky - Exchange $3 95%
Mytru Advantage $3 95%
One Care $3 95%
Umwa $3 95%
UnitedHealthcare $3 - $4 95%
Wellcare Il $3 - $6 95%
Wellcare Ky $3 - $4 95%
Caresource In Marketplace $4 - $5 126%
Hopetrust $4 - $14 126%
Hstechnology $4 - $14 126%
Wellcare Ky Commercial Exchange $4 - $6 126%
Amish And Mennonite Of Western Ky $5 - $15 158%
Noncontracted $5 158%
First Health Network (Coventry) $6 189%
Healthlink $6 189%
Phcs/Multiplan $6 189%
Sagamore $6 189%
Claimdoc $8 - $14 252%
Ky Racing Health & Welfare Fund $8 252%
Self-Pay $8 252%
Cigna $14 442%
Coventry National Network $18 568%
Webster County Detention Center $18 568%
Henderson County Detention Center $21 662%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals