CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Northern Louisiana Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $102
  • Cash Discount Price: $80
  • vs. Medicare Baseline: 32.18x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Northern Louisiana Medical Center is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 32.18x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$80

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $80 (2524%)
Insurance Median: $102 (3218%)
Cash: $80 (2524% of Medicare)
Ins. Median: $102 (3218% 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 3218% of the Medicare baseline (a markup of 3118%). 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 $3 - $87 95%
Blue Cross Blue Shield $3 - $21 95%
Champus $3 95%
Champva $3 95%
Golden Rule Ins $3 - $87 95%
Gulf South Services $3 95%
Humana $3 - $23 95%
Medicaid / KanCare $3 - $146 95%
Medicare (plans) $3 95%
Mutual Of Omaha $3 95%
Tricare $3 95%
UnitedHealthcare $3 - $87 95%
Va $3 95%
Vantage Advantage $3 95%
Veterans Evaluation Svcs $3 95%
Vantage Health Plan $6 189%
Vantage Health Plan Ppaca $6 189%
First Health $7 - $124 221%
Verity Healthnet $71 2240%
Cigna $73 2303%
Kaiser Permanente $73 2303%
Gilsbar $80 2524%
Self Pay $80 2524%
Geha $116 - $138 3659%
Multiplan $124 3912%
Phcs $124 3912%
Work Comp City Of Ruston $131 4132%
Work Comp First Health $131 4132%
Work Comp Nlmc Emp $131 4132%
Workers Compensation $131 4132%
Aarp $146 4606%
Aflc American Family Life $146 4606%
American Life Accident $146 4606%
Apwu Health Plan $146 4606%
Bankers Life And Casualty $146 4606%
Benefit Trust Life $146 4606%
Crime Victims Compensatio $146 4606%
Equitable $146 4606%
Fox Everett Inc $146 4606%
Gmp Employers Retiree Tru $146 4606%
Gsu Athletics $146 4606%
Guarantee Trust Life Ins $146 4606%
Healthfirst Tpa $146 4606%
Hospice Of Caring Hearts $146 4606%
Ima Insurance $146 4606%
Industrial Accounts $146 4606%
Liberty Healthshare $146 4606%
Liberty Mutual Group $146 4606%
Lifecare Specialty Hosp $146 4606%
Lin Parish Detention $146 4606%
Lincoln Kidney Center $146 4606%
Ltu Athletics $146 4606%
Ltu Student Ins Bollinger $146 4606%
Mcr American Hlth Adv $146 4606%
Misc Commercial $146 4606%
Mva Insurance Payors $146 4606%
Nalc Health Benefit Plan $146 4606%
Nalc Natl Assoc Ltr Carri $146 4606%
Newera $146 4606%
Nlmc Community Services $146 4606%
Physicians Mutual Ins $146 4606%
Premier Hospice $146 4606%
Principal Mutual Life Ins $146 4606%
Protective Life Ins $146 4606%
Ruston Regional Specialty $146 4606%
Specialty Hosp Of Winnfie $146 4606%
State Farm Insurance $146 4606%
State Mutual Ins $146 4606%
Sterling Investors Life $146 4606%
The Hartford $146 4606%
Union Bankers Insurance C $146 4606%
Union Fidelity Life Ins $146 4606%
United American $146 4606%
United Teachers Ins $146 4606%
Us Dept Of Labor $146 4606%
Washington National Ins $146 4606%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals