CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Morgan County Arh Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $22
  • Cash Discount Price: $61
  • vs. Medicare Baseline: 6.94x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Morgan County Arh Hospital is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 6.94x the Medicare baseline. Located in 476 Liberty Road, West Liberty, KY.
Cash / Self-Pay
$61

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

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: $61 (1924%)
Insurance Median: $22 (694%)
Cash: $61 (1924% of Medicare)
Ins. Median: $22 (694% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 694% of the Medicare baseline (a markup of 594%). 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.

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 $21 - $90 662%
Blue Cross Blue Shield $21 - $89 662%
Humana $21 - $22 662%
Passport Molina $22 694%
UnitedHealthcare $22 - $76 694%
Wellcare Of Kentucky $22 694%
Caresoure Kentucky $66 2082%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 476 Liberty Road, West Liberty, KY 41472
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals