CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Tristar Greenview Regional Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $819
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Tristar Greenview Regional Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $819. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 1801 Ashley Circle, Bowling Green, KY.
Cash / Self-Pay
$819

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $819 (25836%)
Insurance Median: $4 (126%)
Cash: $819 (25836% of Medicare)
Ins. Median: $4 (126% 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
Aetna $3 95%
Blue Cross Blue Shield $3 - $256 95%
Coventry Cares $3 95%
Devoted Health $3 95%
Horizon Pace $3 95%
Humana $3 - $216 95%
Molina $3 95%
Sarah Cannon Research $3 95%
United $3 - $369 95%
Va Ccn $3 95%
Wellcare $3 - $4 95%
Prime Health $132 4164%
Signature Advantage $156 4921%
Cigna $244 7697%
Cdm Health $402 12681%
Southern Kentucky Rehab $615 19401%
Occupational Mc Alliance $656 20694%
Tim Davis And Associates $656 20694%
Up And Up $656 20694%
Fortified Provider Network $738 23281%
Multiplan $738 23281%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 Ashley Circle, Bowling Green, KY 42104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals