CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Caldwell Medical Center
Billing Code: 81001 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$8
about 2.7× the $3 Medicare rate · typically $4–$29
modeled estimate · not a bill or quote
Medicare pays $3 Fair price $8 Cash price $41 Hospital's list price $55
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $18 - $25 | 568% |
| Blue Cross Blue Shieldmajor | $3 - $20 | 95% |
| Aetnamajor | $3 - $18 | 95% |
| Cignamajor | $46 | 1451% |
| Humanamajor | $2 - $18 | 63% |
| Molina | $20 | 631% |
| WellCare | $27 | 852% |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at Caldwell Medical Center
Compare: Urinalysis (automated, with microscopy) at other KY hospitals
- Monroe County Medical Center · Tompkinsville $2
- Whitesburg Arh Hospital · Whitesburg $3
- Highlands Arh Regional Medical Center · Prestonsburg $3
- King's Daughters' Medical Center · Ashland $3
- Saint Joseph Hospital · Lexington $3
- Saint Joseph London · London $3
- Uofl Health - Shelbyville Hospital · Shelbyville $3
- T J Samson Community Hospital · Glasgow $3
Insurance negotiated median for the same procedure, sorted lowest first.