CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Ochsner Medical Center - Baton Rouge is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.
Cash / Self-Pay
$6

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: $6 (189%)
Insurance Median: $5 (158%)
Cash: $6 (189% 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
Aetna $3 - $8 95%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $3 95%
Amerihealth Caritas Louisiana (Healthy Louisiana) $3 95%
Blue Cross Blue Shield $3 - $6 95%
Healthy Blue (Healthy Louisiana) $3 95%
Healthy Blue Dual Advantage (Hmo-D-Snp) $3 95%
Humana $3 95%
Louisiana Healthcare Connections (Healthy Louisiana) $3 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
Ochsner Health Plan $3 95%
Tricare $3 95%
UnitedHealthcare $3 95%
Claritev D/B/A Multiplan/Phcs/American Life Care $10 315%
Healthcomp & Personify Health (Formerly Gilsbar) $10 315%
Louisiana Workers' Compensation Corporation (Lwcc) $12 379%
Mississippi Physicians Care Network $12 379%
First Health Network $13 410%
Prime Health Services Ppo $14 442%
Usa Managed Care Network $14 442%
Cigna $15 473%
Zelis $25 789%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17000 Medical Center Dr, Baton Rouge, LA 70816
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals