CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Abrom Kaplan Memorial Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Abrom Kaplan Memorial Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 1310 West Seventh Street, Kaplan, LA.
Cash / Self-Pay
$9

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: $9 (284%)
Insurance Median: $5 (158%)
Cash: $9 (284% 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 - $19 95%
Amerihealth Caritas Louisiana (Healthy Louisiana) $3 95%
Healthy Blue (Healthy Louisiana) $3 95%
Humana $3 - $14 95%
Louisiana Healthcare Connections (Healthy Louisiana) $3 95%
UnitedHealthcare $3 - $14 95%
Verity Commercial And First Choice Network $3 - $11 95%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $4 - $14 126%
Blue Cross Blue Shield $4 - $14 126%
Healthy Blue Dual Advantage (Hmo-D-Snp) $4 - $14 126%
Medicare (plans) $4 - $14 126%
Ochsner Health Plan $4 - $14 126%
Tricare $4 - $16 126%
Wellcare Of Louisiana $4 - $14 126%
Cigna $6 - $22 189%
Zelis $6 - $22 189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1310 West Seventh Street, Kaplan, LA 70548
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals