CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Mercy Health Saint Mary's

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Mercy Health Saint Mary's is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $25 (789%)
Insurance Median: $3 (95%)
Cash: $25 (789% of Medicare)
Ins. Median: $3 (95% 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
Access Health $2 - $4 63%
Blue Cross Blue Shield $2 - $4 63%
Medicaid / KanCare $2 - $21 63%
Aetna $3 - $19 95%
Albany County Correctional Facility $3 95%
Align Senior Care $3 95%
Ally Align Care Adv $3 95%
Ambetter / Centene $3 95%
American Health Advantage Of Idaho $3 95%
American Health Plan $3 95%
American Postal Workers Secondary $3 95%
Amish Mennonite $3 95%
Andrie Inc $3 95%
Ascension St. Vincent Public Safety Medical $3 95%
Aurora Special Needs $3 95%
Bccp $3 95%
Blue Benefit Administrators Of Massachusetts $3 - $4 95%
Blue Care Network $3 - $4 95%
Blue Care Network Advantage $3 95%
Blue Distinction Transplant $3 - $4 95%
Blue Shield - Ca $3 - $4 95%
Blue Shield - De (Highmark) Medciare Advantage $3 95%
Blue Shield - Id (Regence) $3 - $4 95%
Blue Shield - Ny Highmark Northeastern $3 - $4 95%
Blue Shield - Ny Highmark Western $3 - $4 95%
Blue Shield - Pa (Highmark) $3 - $4 95%
Blue Shield - Wa (Regence) $3 - $4 95%
Bmc Healthnet $3 95%
Breast Grant-Connecticut $3 95%
Broward County Dept Of Health $3 95%
California Health And Wellness $3 95%
Cardinal Innovations Lme $3 95%
Care Connections Of Northern Iowa $3 95%
Care Dimensions $3 95%
Care Improvement Plus $3 95%
Care Oregon Ohp $3 95%
Care Resources Pace $3 95%
Careplus Health Plans $3 95%
Cca - Zing Health $3 95%
Cca Senior Care Options $3 95%
Cencal Health Plan $3 95%
Cenpatico $3 95%
Central Valley Medical Services Corp Pace $3 95%
Champion Health Plan Mcr Advantage $3 95%
Champva $3 95%
Chhuny $3 95%
Childrens Comm Health Plan $3 95%
Childrens Medical Services Title 19 $3 95%
Cigna $3 - $32 95%
City Of Philadelphia $3 95%
Clear Spring Health $3 95%
Clover Health $3 95%
Cmh Allegan County $3 - $44 95%
Cmh Ausable Valley $3 - $44 95%
Cmh Barry County $3 - $44 95%
Cmh Bay-Arenac County $3 95%
Cmh Berrien County $3 - $44 95%
Cmh Cass County $3 - $44 95%
Cmh Central Mi County $3 95%
Cmh Clinton-Eaton-Ingham County $3 - $44 95%
Cmh Detroit Wayne Integrated Health Network $3 95%
Cmh Genesee County $3 95%
Cmh Ionia County $3 95%
Cmh Jackson County/Lifeways $3 95%
Cmh Kalamazoo $3 - $44 95%
Cmh Kent County $3 - $44 95%
Cmh Lenawee County $3 - $44 95%
Cmh Livingston County $3 95%
Cmh Macomb $3 95%
Cmh Misc $3 - $44 95%
Cmh Monroe County $3 - $44 95%
Cmh Montcalm County $3 - $44 95%
Cmh Muskegon County $3 - $44 95%
Cmh Newaygo County $3 - $44 95%
Cmh North Country $3 - $44 95%
Cmh Northern Lakes County $3 - $44 95%
Cmh Oakland County $3 95%
Cmh Ottawa County $3 - $44 95%
Cmh Van Buren County $3 - $44 95%
Cmh Washtenaw County $3 95%
Cmh Wayne County/Carelink $3 95%
Cmh Wayne Cty/Com Liv Svcs $3 95%
Cmh West Mi County $3 - $44 95%
Commonwealth Care Alliance $3 95%
Community Benefit Health $3 95%
Community Care Behavorial Health $3 95%
Community Care Partners $3 95%
Community Health Choice $3 95%
Community Pace At Home $3 95%
Connections Csp $3 95%
Correctional Recovery $3 95%
County Coroner $3 95%
County Funding Generic $3 95%
Covid19 Hrsa Uninsured Testing And Treatment Fund $3 95%
Dean Wi Badgercare $3 95%
Delaware County Department Of Health $3 95%
Delaware First Health $3 95%
Delta Dental Nj $3 95%
Dph Tb Program $3 95%
Dscc $3 95%
East Greenbush Central School District $3 95%
Eastpointe Lme $3 95%
Eddy Senior Care-Pace $3 95%
Eddy Seniorcare Pace $3 95%
Elementcare $3 95%
Evercare $3 95%
Everence $3 95%
Family Health Network $3 95%
Freedom First Healthcare $3 95%
Fresno County Ccs $3 95%
Gateway Health Plan $3 95%
Genesys Pace Of Genesee County $3 95%
Genex Wc $3 95%
Georgia Health Advantage $3 95%
Ghc Scw Wi Badgercare $3 95%
Gold Advantage $3 95%
Gpa Croell Redi Mix $3 95%
Hap $3 - $34 95%
Harbor Health $3 95%
Health America Advantra $3 95%
Health Safety Net $3 95%
Healthsmart Workers Comp $3 95%
Healthy Blue Ne $3 95%
Hennepin Health $3 95%
Highmark Health Options Dual Plan $3 95%
Hope Select Pace $3 95%
Horizon Nj Total Care $3 95%
Hospice Faith $3 95%
Hospice Of Holland $3 95%
Hudson Headwaters Pace $3 95%
Humana $3 - $44 95%
Huron Valley Pace $3 95%
Id County Ada $3 95%
Id County Canyon $3 95%
Id County Cat Fund $3 95%
Id County Other $3 95%
Id County Payette $3 95%
Idaho Dept Health And Wellfare $3 95%
Idaho Womens Health Check $3 95%
Indiana Breast Cervical Cancer $3 95%
Inland Empire Health Plan $3 95%
Innovative Integrated Health Community Plans $3 95%
Intercommunity Health Ohp $3 95%
Iowa Health Advantage $3 95%
Iowa Total Care $3 95%
Jag Source $3 95%
Jai Medical System $3 95%
Johns Hopkins Advantage Md $3 95%
Kern Family Health Plan $3 95%
Keystone First $3 95%
Keystone First Chip $3 95%
La Care Health Plan $3 95%
Lakeland Care Inc $3 95%
Lasso Healthcare Msa $3 95%
Life St Marys Pace $3 95%
Lifecircles Pace $3 95%
Longevity Health Plan $3 95%
Managed Health Services - Indiana $3 95%
Martins Point Generations Advantage $3 95%
Maryland Breast & Cervical Program $3 95%
Maryland Healthy Smiles - Scion Dental $3 95%
Maryland Physicians Care $3 95%
Mass General Brigham Mcr Adv $3 95%
Massachusetts Behavioral Health Partnership $3 95%
Mdwise $3 95%
Medi-Cal $3 95%
Medi-Cal Healthnet $3 95%
Medicare (plans) $3 95%
Medipak Advantage $3 95%
Medstar Dc Healthy Family $3 95%
Medstar Md Health Choice $3 95%
Mercy Life $3 95%
Mercyone Cedar Valley $3 95%
Meridian Complete $3 95%
Meritain $3 - $5 95%
Michigan Complete Health $3 95%
Mo Home State Health Plan $3 95%
Molina Centennial Care $3 95%
Nascentia Health Options $3 95%
Nascentia Health Plus $3 95%
Nebraska Total Care $3 95%
New Centry Health Careplus $3 95%
New York Cancer Services Program $3 95%
New York State Insurance Fund $3 95%
Nextlevel Health $3 95%
Njm Insurance Group $3 95%
Nomi Health $3 - $25 95%
Oregon Screenwise $3 95%
Oscar $3 - $4 95%
Osu Prime Care Advantage $3 95%
Pace Cny $3 95%
Pace Iowa Immanuel Pathways $3 95%
Pace Of Southwest Michigan $3 95%
Pace Southeast $3 95%
Pace-Trinity Health $3 95%
Paramount Advantage $3 95%
Parkland Community Health Plan $3 95%
Partners Behavioral Lme $3 95%
Peach State Healthplan $3 95%
Peak Pace Solutions $3 95%
Perennial Advantage $3 95%
Philadelphia County Funding $3 95%
Preferred Care Partners $3 95%
Presbyterian Centennial Care $3 95%
Presbyterian Senior Plan $3 95%
Prestige Health Choice $3 95%
Priority Health $3 - $20 95%
Priority Partners $3 95%
Provider Partners Health Plan Of Illinois $3 95%
Provider Partners Health Plan Of Indiana $3 95%
Pruitthealth Premier $3 95%
Reliance Community Care Partners Care Resources Pace $3 95%
Robert F Sing Program $3 95%
Rx 340B Pass Along $3 95%
Rx Allwin $3 95%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $3 95%
Rx Grane Grnmedd $3 95%
Rx Heatlhcomp $3 95%
Rx Medi-Cal $3 95%
Rx Meridian Rx $3 95%
Rx Restat $3 95%
Rx Retiree Rx Care $3 95%
Rx Saif Opdp Wc $3 95%
Rx Worker'S Comp $3 95%
Ryan White Florida Mssrp $3 95%
Sandhills Center Lme $3 95%
Scan Health Plan Mcr Ipa Meritage Oon $3 95%
Screening For Life $3 95%
Secure Horizons Ma Pffs $3 95%
Serenity Pace $3 95%
Siouxland Pace $3 95%
Solis Health Plans $3 95%
St Joseph County Hlth Dpt $3 95%
Stephenson Cty Health $3 95%
Sunnyview-Pace Finance Dept $3 95%
Sunshine State Health Plan $3 95%
Superior Health $3 95%
Tenncare $3 95%
Texan Plus $3 95%
Texas Children'S Health Plan $3 95%
The Health Plan $3 - $25 95%
Thome Pace $3 95%
Todays Options $3 95%
Tribute Health Plans $3 95%
Tricare $3 95%
Trillium Community Ohp $3 95%
Triwest Health Alliance $3 95%
Tufts Health Public Plans $3 95%
Um Health Advantage $3 95%
Union Health Service $3 95%
UnitedHealthcare $3 - $44 95%
Us Family Health Plan $3 95%
Varipro $3 - $29 95%
Vaya Health Lme $3 95%
Veterans Administration $3 95%
Veterans Eval Services $3 95%
Washtenaw Health Plan $3 95%
Wc Accident Fund $3 - $24 95%
Wc Ace $3 95%
Wc Acs Federal Employees $3 95%
Wc Acuity $3 95%
Wc Advantage $3 - $24 95%
Wc Aegis $3 95%
Wc Aig $3 - $24 95%
Wc Aims $3 95%
Wc Alaska National Ins $3 95%
Wc Align Network $3 95%
Wc Allied $3 - $24 95%
Wc Am Trust N America $3 95%
Wc American Claims Mgmt $3 95%
Wc Amerisure $3 - $24 95%
Wc Amtrust $3 - $24 95%
Wc Asu Risk Mgt $3 - $24 95%
Wc Benetech $3 95%
Wc Berkley Admin $3 - $24 95%
Wc Broadspire $3 - $24 95%
Wc Broward County $3 95%
Wc Bunch & Associates $3 - $24 95%
Wc California State Comp Ins $3 95%
Wc California State Ins Fund $3 95%
Wc Capitol Area Health Consortium $3 95%
Wc Ccmsi $3 - $24 95%
Wc Chartis $3 95%
Wc Chubb $3 95%
Wc Cirma $3 95%
Wc City Of Albany $3 95%
Wc City Of Sioux City $3 95%
Wc Claims Mgmt Inc $3 95%
Wc Cna $3 95%
Wc Comp One Admin C/O Manageability $3 95%
Wc Compone Admin $3 95%
Wc Corvel $3 95%
Wc Ct Healthcare Trust $3 95%
Wc Donegal Insurance Group $3 95%
Wc Emc Insurance Company $3 - $24 95%
Wc Employee Mutual $3 95%
Wc Enablecomp $3 95%
Wc Encore Health Network $3 95%
Wc Erie $3 95%
Wc Esis $3 - $24 95%
Wc Evolutions $3 95%
Wc Fcci $3 - $24 95%
Wc Fed Ex $3 95%
Wc Federal Black Lung $3 95%
Wc Federated $3 - $24 95%
Wc Finley Occupational Health $3 95%
Wc First Agency/Occunet $3 95%
Wc Ford Motor $3 95%
Wc Fresno Unified Emp $3 95%
Wc Gallagher Bassett $3 - $24 95%
Wc General Motors $3 95%
Wc Generic $3 95%
Wc Genex Care For Ohio $3 - $24 95%
Wc Great West Casualty $3 95%
Wc Guarantee Insurance $3 95%
Wc Guard Insurance Company $3 - $24 95%
Wc Hab $3 95%
Wc Hartford $3 - $24 95%
Wc Hastings $3 95%
Wc Health Management $3 95%
Wc Heritage Summit $3 95%
Wc Hireright $3 95%
Wc Horizon $3 95%
Wc Icw Group $3 95%
Wc Idaho State Ins Fund $3 95%
Wc Intercare Insurance $3 95%
Wc Intermountain $3 95%
Wc Johns Eastern $3 95%
Wc Kemberton $3 95%
Wc Key Ins & Benefit Solutions $3 95%
Wc Liberty Mutual $3 - $24 95%
Wc Mac Risk Management $3 95%
Wc Massachusetts $3 95%
Wc Mdia $3 95%
Wc Meadowbrook Claim $3 95%
Wc Medical Administrators $3 95%
Wc Meijers $3 - $24 95%
Wc Memic $3 95%
Wc Mercy Workcare $3 95%
Wc Michigan $3 - $24 95%
Wc Michigan Millers Mutual $3 95%
Wc Mitchell Frankenmuth $3 - $24 95%
Wc Mra $3 95%
Wc Nationwide $3 95%
Wc Nca Comp $3 95%
Wc New York $3 95%
Wc New York Special Funds $3 95%
Wc North American Rishces $3 95%
Wc Northeast Health $3 95%
Wc Notre Dame $3 95%
Wc Novanet $3 95%
Wc O'Hara Corp $3 95%
Wc Occ Health Allen $3 95%
Wc Ohio Bureau $3 95%
Wc One Call Medical $3 95%
Wc Paradigm $3 95%
Wc Peerless $3 95%
Wc Pma $3 - $24 95%
Wc Praxis Health Network $3 95%
Wc Price Chopper $3 95%
Wc Procura Management $3 95%
Wc Qualcare $3 95%
Wc Quiktrip $3 95%
Wc Reny Company $3 95%
Wc Rev Claims $3 95%
Wc Risico $3 95%
Wc Rural Mutual $3 95%
Wc Saif Oregon $3 95%
Wc Secura $3 95%
Wc Sedgwick $3 - $24 95%
Wc Sentry $3 - $24 95%
Wc Sheakley Unicomp $3 95%
Wc Smile Lodge $3 95%
Wc Society $3 95%
Wc Srs $3 95%
Wc Taconic (Mro) $3 95%
Wc Taconic Farms $3 95%
Wc Travelers $3 - $24 95%
Wc Triad Group $3 95%
Wc Tristar $3 - $24 95%
Wc Troy Ny $3 95%
Wc Tyson $3 95%
Wc Unified Health Services $3 95%
Wc United Heartland $3 95%
Wc Us Dept Of Labor $3 95%
Wc Velocity $3 95%
Wc Walmart $3 - $24 95%
Wc West Bend $3 95%
Wc West Bend Mutual/Argent $3 95%
Wc Winnebago Industries $3 95%
Wc Yankee Trails $3 95%
Wc York Risk $3 95%
Wc Zenith $3 95%
Wc Zurich $3 - $24 95%
Welbe Health $3 95%
Wellmed $3 95%
Wellsense Health Plan $3 95%
Wi Womens Wellness $3 95%
Acclaim $4 - $33 126%
Administrative Concepts $4 - $33 126%
Allegeant $4 - $33 126%
Allied Benefit Systems $4 - $25 126%
Ameriben $4 - $33 126%
American Family $4 - $33 126%
American Healthcare Alliance $4 - $33 126%
American National $4 - $12 126%
American Republic $4 - $33 126%
Amerihealth $4 - $33 126%
Aultcare $4 - $33 126%
Automated Benefit Services $4 - $33 126%
Auxiant $4 - $33 126%
Bcn Domestic $4 126%
Benefit Administrative Systems,Llc $4 - $33 126%
Boon Chapman $4 - $33 126%
Cam Administrative Services $4 - $33 126%
Christian Brother Services $4 - $33 126%
Christian Brothers Holy Cross $4 - $33 126%
Claimchoice Adminstrators $4 - $25 126%
Comprehensive Benefits $4 - $33 126%
Consociate $4 - $25 126%
Continental Life Insurance $4 - $33 126%
Coventry $4 - $35 126%
Custom Benefit Administrators $4 - $33 126%
Cypress Benefit Administrators $4 - $25 126%
Employee Benefit Concepts $4 - $33 126%
Employee Benefit Management $4 - $33 126%
Enterprise Group Planning $4 - $33 126%
First Health $4 - $35 126%
Forest County Potawatomi $4 - $25 126%
Freedom Life Insurance Company $4 - $33 126%
Geha $4 - $33 126%
Group Administrators $4 - $33 126%
Group Marketing Services $4 - $33 126%
Group Pension Administrators $4 - $32 126%
Guardian $4 - $33 126%
Health America $4 - $33 126%
Health Choices $4 - $33 126%
Health Partners $4 126%
Health Smart $4 - $25 126%
Healthcare Management Admin $4 - $12 126%
Healthez $4 - $33 126%
Healthgram $4 - $25 126%
Healthscope $4 - $25 126%
Insight $4 - $33 126%
Jfp Benefit Management $4 - $33 126%
Jp Farley Corporation $4 - $33 126%
Kaiser Domestic $4 126%
Key Benefit Administrator $4 - $33 126%
Liberty Union Life Assurance Co $4 - $33 126%
Longevity Ipa Of Michigan Llc Health Plan Isnp $4 126%
Lucent Health $4 - $33 126%
Luminare Health $4 - $33 126%
Luminare Health (Detroit) $4 - $33 126%
Magnacare $4 - $12 126%
Medben $4 - $33 126%
Medcost $4 - $33 126%
Medical Mutual $4 - $12 126%
Molina Marketplace $4 126%
Mutual Health Services $4 - $33 126%
Mutual Of Omaha $4 - $33 126%
Ncas $4 - $33 126%
Nippon Life Ins $4 - $33 126%
Nova $4 - $33 126%
Painters Union Insurance Fund $4 - $33 126%
Physicians Mutual $4 - $33 126%
Plumbers Local 98 Insurance Fund $4 - $33 126%
Prairie States $4 - $33 126%
Preferred One $4 - $12 126%
Primary Physician Care $4 - $33 126%
Professional Benefit Administrators $4 - $33 126%
Secureone Preferred United Plans $4 - $25 126%
Siho Insurance Services $4 - $12 126%
Sisco Benefits $4 - $25 126%
The Loomis Company $4 - $33 126%
Trustmark Small Business Benefits $4 - $25 126%
Tufts Health Plan $4 126%
Unicare $4 - $33 126%
Unified Group Services $4 - $25 126%
Valenz $4 - $33 126%
Webtpa $4 - $25 126%
Wellpath $4 - $5 126%
Western & Southern Financial Group $4 - $33 126%
Wps $4 - $33 126%
1199 National Benefit Fund $5 - $32 158%
Allied National Global Care $5 - $32 158%
Asrm - Reliance Standard Life Insurance $5 - $32 158%
Christian Care Ministry $5 - $32 158%
Claimdoc $5 158%
Dean Health $5 - $32 158%
Fallon Health $5 - $32 158%
Family Life Insurance Company $5 - $32 158%
International Benefit Administrators $5 - $32 158%
Kent County Jail $5 158%
Lifetime Benefit Solutions $5 - $32 158%
Manhattan Life $5 - $32 158%
Multiplan $5 - $32 158%
Muskegon County Jail $5 158%
Mvp $5 - $32 158%
Pai $5 - $32 158%
Pan-American Life $5 - $32 158%
Partners Direct Health - Brio $5 158%
Phcs $5 - $32 158%
Trinity Health Share $5 - $32 158%
U Of M Health Plan $5 - $33 158%
Vitalcore $5 158%
Asr Health Benefits $6 - $28 189%
Us Health And Life $6 - $33 189%
Bcccp-Michigan $7 - $21 221%
Acs Benefit Services $25 789%
Caresource $29 915%
Ghc Scw $32 1009%
Medi Share $32 1009%
Paramount Hmo $32 1009%
Intercare $33 1041%
Magellan Behavioral Health $44 1388%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals