CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Bienville Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $30
  • Cash Discount Price: $34
  • vs. Medicare Baseline: 9.46x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Bienville Medical Center is $30. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 9.46x the Medicare baseline. Located in 1175 Pine Street, Arcadia, LA.
Cash / Self-Pay
$34

Average discount available for prompt cash payment at this facility.

Insurance Median
$30

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: $34 (1073%)
Insurance Median: $30 (946%)
Cash: $34 (1073% of Medicare)
Ins. Median: $30 (946% 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 946% of the Medicare baseline (a markup of 846%). 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 - $56 95%
Ambetter / Centene $3 - $30 95%
Humana $3 - $36 95%
Mcr American Hlth Adv $3 - $30 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 - $30 95%
Misc Mgd Care $3 - $56 95%
Mmc Blue Advantage $3 - $30 95%
Mmc Misc $3 - $30 95%
Mmd Amerihealth Caritas $3 95%
Mmd Healthy Blue $3 95%
Mmd La Hlth Conn $3 95%
Mmd Misc $3 95%
Peoples Health Mcr Adv $3 - $30 95%
UnitedHealthcare $3 - $30 95%
Va Health $3 - $30 95%
Cashiering $22 - $34 694%
Cigna $28 883%
Blue Cross Blue Shield $34 1073%
Wc City Of Arcadia $50 1577%
Wc House Of Raeford $50 1577%
Wc Misc $50 1577%
Wc Stonetrust $50 1577%
Aarp $56 1767%
Allegiance Health Managme $56 1767%
Amfirst $56 1767%
Apwu $56 1767%
Liberty Mutual $56 1767%
Misc Comm A-L $56 1767%
Misc Comm M-Z $56 1767%
Tricare $56 1767%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1175 Pine Street, Arcadia, LA 71001
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals