CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Ochsner LSU Health Monroe

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $11
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Ochsner LSU Health Monroe is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.
Cash / Self-Pay
$11

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: $11 (347%)
Insurance Median: $5 (158%)
Cash: $11 (347% 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
Blue Cross Blue Shield $2 - $5 63%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp) $3 95%
Aetna $3 - $8 95%
Amerihealth Caritas Louisiana (Healthy Louisiana) $3 95%
Healthy Blue (Formerly Amerigroup Louisiana Inc.) $3 95%
Humana $3 95%
Louisiana Healthcare Connections (Healthy Louisiana) $3 95%
Medicare (plans) $3 95%
UnitedHealthcare $3 95%
Vantage Health Plan - Commercial $3 95%
Zelis $5 158%
Verity Health Network – Lsu First Choice $7 - $20 221%
First Health Network $8 252%
Healthcomp Ppo (Formerly Gilsbar 360 $8 252%
Cigna $9 284%
Multiplan/Phcs/American Lifecare $12 - $33 379%
Usa Managed Care Network $13 - $36 410%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4864 Jackson Street, Monroe, LA 71202
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals