CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Tj Health Columbia

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $27
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Tj Health Columbia is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 901 Westlake Drive, Columbia, KY.
Cash / Self-Pay
$27

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $27 (852%)
Insurance Median: $5 (158%)
Cash: $27 (852% of Medicare)
Ins. Median: $5 (158% 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
Caresource - All Plans $1 32%
Blue Cross Blue Shield $3 - $41 95%
Devoted Mcr Adv - All Plans $3 95%
Humana $3 - $41 95%
Molina Mcr Adv $3 95%
Signature Advantage - All Plans $3 95%
Molina Marketplace - All Other Plans $5 158%
UnitedHealthcare $20 631%
Center Care Select - All Plans $23 726%
First Health - All Plans $39 1230%
Phcs/Multiplan - All Plans $39 1230%
Aetna $41 1293%
Molina Mcaid $42 1325%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 Westlake Drive, Columbia, KY 42728
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals