CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Avoyelles Hospital
Billing Code: 81001 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 81001
- Insurance Median: $111
- Cash Discount Price: $55
- vs. Medicare Baseline: 35.02x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Avoyelles Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 35.02x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$55
Average discount available for prompt cash payment at this facility.
Insurance Median
$111
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: $55 (1735%)
Insurance Median: $111 (3502%)
Cash: $55 (1735% of Medicare)
Ins. Median: $111 (3502% 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 3502% of the Medicare baseline (a markup of 3402%). 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.
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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 - $104 | 95% |
| Bankers Life | $3 | 95% |
| Champva | $3 | 95% |
| Cigna | $3 - $104 | 95% |
| Correct Cr Int Hlt | $3 - $38 | 95% |
| Humana | $3 - $105 | 95% |
| Mcd Amerihealth Caritas | $3 - $38 | 95% |
| Mcd Healthy Blue | $3 - $38 | 95% |
| Mcd La Hc Conn | $3 - $38 | 95% |
| Mcd Ms | $3 - $42 | 95% |
| Mcr Lagniappe | $3 | 95% |
| Medeico Ins Co | $3 | 95% |
| Medicaid / KanCare | $3 - $38 | 95% |
| Medicare (plans) | $3 | 95% |
| Mmc Allwell | $3 | 95% |
| Mmc Blue Advantage | $3 | 95% |
| Mmc Healthy Blue Dual Adv | $3 | 95% |
| Mmc Mcr Hmo Miscellaneous | $3 | 95% |
| Mmc Priority Hlth Pffs | $3 | 95% |
| Mmc Vantage Hlth | $3 | 95% |
| Mmc Wellcare | $3 | 95% |
| Mutual Of Omaha | $3 | 95% |
| Neba Inc | $3 | 95% |
| Philadelphia American Lif | $3 | 95% |
| Sentinel Security Life | $3 | 95% |
| Trustmark Health Benefits | $3 - $184 | 95% |
| Tunica Biloxi | $3 - $184 | 95% |
| United Amer Ins | $3 | 95% |
| UnitedHealthcare | $3 - $38 | 95% |
| Veterans Evaluation Serv | $3 | 95% |
| Wps Vacca | $3 | 95% |
| All Savers | $4 | 126% |
| Geha | $4 | 126% |
| Gulf South Zelis | $4 | 126% |
| United Hlth One | $4 | 126% |
| Amer Contl Ins | $5 - $104 | 158% |
| Blue Cross Blue Shield | $5 | 158% |
| Coventry | $5 - $104 | 158% |
| First Choice Health | $5 - $104 | 158% |
| Meritan Health | $5 - $184 | 158% |
| Ofc Of Grp Bene | $5 | 158% |
| Student Assurances | $55 - $184 | 1735% |
| Ppo Plus Llc | $111 | 3502% |
| Zelis Healthcare Bpa | $111 | 3502% |
| Gilsbar | $116 | 3659% |
| Amerind | $166 | 5237% |
| Applied Underwriters | $166 | 5237% |
| Sedgwick | $166 | 5237% |
| Us Dept Of Labor | $166 | 5237% |
| Wc Clms Admin Svcs | $166 | 5237% |
| Wc Clms Mgmnt Walmart | $166 | 5237% |
| Wc Esis | $166 | 5237% |
| Wc Fara | $166 | 5237% |
| Wc Gallagher Bassett | $166 | 5237% |
| Wc Guide One | $166 | 5237% |
| Wc Hartford Med | $166 | 5237% |
| Wc Luba | $166 | 5237% |
| Wc Lwcc | $166 | 5237% |
| Wc Paragon Casino Resort | $166 | 5237% |
| Wc Risk Mgmnt | $166 | 5237% |
| Wc Stone Trust | $166 | 5237% |
| Wc Summit Consulting Hold | $166 | 5237% |
| Wc Travelers Ins | $166 | 5237% |
| Wc Trs Workers Comp Claim | $166 | 5237% |
| Wc Us Dol | $166 | 5237% |
| Wc Zurich | $166 | 5237% |
| Aarp | $184 | 5804% |
| Admin Concepts | $184 | 5804% |
| All Saints Hospice | $184 | 5804% |
| All State | $184 | 5804% |
| Allegiance Health Hospice | $184 | 5804% |
| Allied Natl | $184 | 5804% |
| Amfirst | $184 | 5804% |
| Avoy Parish School Board | $184 | 5804% |
| Avoyelles Parish Sheriff | $184 | 5804% |
| Bollinger | $184 | 5804% |
| Ccmsi | $184 | 5804% |
| Central States | $184 | 5804% |
| Christus Health Plan | $184 | 5804% |
| Compassionate Care Hospic | $184 | 5804% |
| Core Source | $184 | 5804% |
| Coushatta Hlth Dept | $184 | 5804% |
| Ebms | $184 | 5804% |
| Federated Ins | $184 | 5804% |
| Feedom Life | $184 | 5804% |
| Fidelity Standard Life Co | $184 | 5804% |
| Fox Everette | $184 | 5804% |
| Guarantee Trust | $184 | 5804% |
| Heart Of Hospice | $184 | 5804% |
| Hos Christus Hospice | $184 | 5804% |
| Hos Guardian Hospice Care | $184 | 5804% |
| Hos Harbor Hospice Alex | $184 | 5804% |
| Hos La Hospice Palliative | $184 | 5804% |
| Hos Passages Hospice N. | $184 | 5804% |
| Hos St Joseph Hospice | $184 | 5804% |
| Hospice Miscellaneous | $184 | 5804% |
| Ins Mgmnt Admin | $184 | 5804% |
| Ins Tpa | $184 | 5804% |
| Liberty Health Share | $184 | 5804% |
| Lumico | $184 | 5804% |
| Manhattan Life Ins | $184 | 5804% |
| Medi Share | $184 | 5804% |
| Misc Comm | $184 | 5804% |
| Nalc | $184 | 5804% |
| New Era Life | $184 | 5804% |
| North American | $184 | 5804% |
| Phcs | $184 | 5804% |
| Physicians Mutual | $184 | 5804% |
| Pipeline Ind Bene | $184 | 5804% |
| Progressive Auto | $184 | 5804% |
| Reliance Standard Life | $184 | 5804% |
| Rural Carriers | $184 | 5804% |
| Shelter Ins Co | $184 | 5804% |
| Sierre Health And Life | $184 | 5804% |
| State Farm | $184 | 5804% |
| State Mutual | $184 | 5804% |
| Sterling Investors | $184 | 5804% |
| The Health Plan | $184 | 5804% |
| Tribal Hlth Partners | $184 | 5804% |
| Tricare | $184 | 5804% |
| Uct | $184 | 5804% |
| Unified Life | $184 | 5804% |
| Usaa Life Ins | $184 | 5804% |
| Web-Tpa | $184 | 5804% |
| Woodmen Of The World | $184 | 5804% |