CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Claiborne Memorial Medical Center
Billing Code: 81001 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 81001
- Insurance Median: $12
- Cash Discount Price: $28
- vs. Medicare Baseline: 3.79x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Claiborne Memorial Medical Center is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 3.79x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$28
Average discount available for prompt cash payment at this facility.
Insurance Median
$12
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: $28 (883%)
Insurance Median: $12 (379%)
Cash: $28 (883% of Medicare)
Ins. Median: $12 (379% 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 379% of the Medicare baseline (a markup of 279%). 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 - $28 | 95% |
| Amerihealth Caritas La | $3 - $19 | 95% |
| Arcadian Community Mcr Hm | $3 | 95% |
| Blue Cross Blue Shield | $3 - $17 | 95% |
| Champus | $3 | 95% |
| Champva | $3 | 95% |
| Cigna | $3 - $32 | 95% |
| Community Health Solution | $3 - $19 | 95% |
| Correctcare Intergrated | $3 - $19 | 95% |
| Healthy Blue | $3 - $19 | 95% |
| Healthy Blue Dual Adv | $3 | 95% |
| Humana | $3 - $43 | 95% |
| Kaiser Foundation Health | $3 | 95% |
| Louisiana Hc Connections | $3 - $19 | 95% |
| Magellan Services | $3 - $19 | 95% |
| Medicaid / KanCare | $3 - $19 | 95% |
| Medicare (plans) | $3 | 95% |
| Peoples Health Network | $3 | 95% |
| Pyramid Claims Mcr Hmo | $3 | 95% |
| Sterling Connect 2 | $3 | 95% |
| Sterling Premier Mc Hmo | $3 | 95% |
| Superior Health Mcr Hmo | $3 | 95% |
| Tenet Mcr Hmo | $3 | 95% |
| Tricare | $3 | 95% |
| United Hc Mcr Hmo | $3 | 95% |
| UnitedHealthcare | $3 - $19 | 95% |
| Universal Hc Mcr Hmo | $3 | 95% |
| Us Dept Of Labor | $3 | 95% |
| Vantage Health Mcr Hmo | $3 | 95% |
| Windsor Sterling Mcr Hmo | $3 | 95% |
| Wps Mvh Vapc3 | $3 | 95% |
| All Savers | $4 | 126% |
| Golden Rule Ins Co | $4 | 126% |
| United Behavioral Health | $4 | 126% |
| Vantage Health Plan Inc | $4 | 126% |
| Ambetter / Centene | $5 | 158% |
| Commercial Insurance | $5 - $43 | 158% |
| Meritain Health | $5 - $28 | 158% |
| Coventry Healthcare | $7 - $26 | 221% |
| Geha | $8 - $30 | 252% |
| Health Plus Of La | $8 - $32 | 252% |
| Apwu Healthplan | $9 - $32 | 284% |
| Great West Healthcare | $9 - $32 | 284% |
| Phcs | $10 - $35 | 315% |
| Ppo Plus | $10 - $35 | 315% |
| Sedgwick Claims Mgmt Serv | $11 - $39 | 347% |
| Workman'S Comp | $11 - $39 | 347% |
| Aarp | $12 - $43 | 379% |
| Accordia National | $12 - $43 | 379% |
| Aflac | $12 - $43 | 379% |
| Alameda Alliance Forhealt | $12 - $43 | 379% |
| American Pioneer | $12 - $43 | 379% |
| Benefit Management | $12 - $43 | 379% |
| Benesys Inc | $12 - $43 | 379% |
| Business Guarantor | $12 - $43 | 379% |
| Chubb | $12 - $43 | 379% |
| Commercial Sr. Care | $12 - $43 | 379% |
| Employee Benefit Services | $12 - $43 | 379% |
| Family Life Insurance Co | $12 - $43 | 379% |
| Farm Bureau Insurance | $12 - $43 | 379% |
| Fiserv Health Benefit | $12 - $43 | 379% |
| Gmp | $12 - $43 | 379% |
| Group And Pension Admin | $12 - $43 | 379% |
| Group Resources | $12 - $43 | 379% |
| Haik Minvielle And Grubbs | $12 - $43 | 379% |
| Harrington Benefit Svs | $12 - $43 | 379% |
| Health Design Plus | $12 - $43 | 379% |
| Health Plan | $12 - $43 | 379% |
| Healthscope Benefits | $12 - $43 | 379% |
| Insurance Management Admi | $12 - $43 | 379% |
| Jefferson National | $12 - $43 | 379% |
| John Alden Health Ins | $12 - $43 | 379% |
| John Hancock | $12 - $43 | 379% |
| Liberty Mutual | $12 - $43 | 379% |
| Mailhandlers Benefit Plan | $12 - $43 | 379% |
| Manhattan Life Ins Co | $12 - $43 | 379% |
| Mega Life And Health | $12 - $43 | 379% |
| Msa Careguard | $12 - $43 | 379% |
| Mutual Of Omaha | $12 - $43 | 379% |
| Nalc Health Benefit Plan | $12 - $43 | 379% |
| Naphcare Inc. | $12 - $43 | 379% |
| New Era Life Ins Co | $12 - $43 | 379% |
| Physicians Mutual | $12 - $43 | 379% |
| Principal Financial Group | $12 - $43 | 379% |
| Prudential Healthcare | $12 - $43 | 379% |
| Self Pay | $12 - $43 | 379% |
| State Farm | $12 - $43 | 379% |
| State Farm Insurance | $12 - $43 | 379% |
| State Mutual Insurance Co | $12 - $43 | 379% |
| Sterling Investors Life | $12 - $43 | 379% |
| Tower Life | $12 - $43 | 379% |
| Transamerica Premier Ins | $12 - $43 | 379% |
| United American | $12 - $43 | 379% |
| United Comm Travelers | $12 - $43 | 379% |
| United Teachers | $12 - $43 | 379% |
| Usable Administrator | $12 - $43 | 379% |
| Visn 16 Cfu | $12 - $43 | 379% |
| Wausau Benefits | $12 - $43 | 379% |
| Webtpa | $12 - $43 | 379% |
| Wells Fargo | $12 - $43 | 379% |
| Woodmen Of The World | $12 - $43 | 379% |