CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Holland Community Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $17
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Holland Community Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.
Cash / Self-Pay
$17

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: $17 (536%)
Insurance Median: $5 (158%)
Cash: $17 (536% 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 - $4 95%
Health Alliance Mcr Adv $3 95%
Life Circles-All Plans $3 95%
Longevity Health Plan-All Plans $3 95%
Ph Mcr Adv $3 95%
Va Ccn - All Plans $3 95%
Blue Cross Blue Shield $4 126%
Cofinity -All Plans $4 126%
Asr - All Plans $5 158%
Health Alliance Ahl - All Other Plans $5 158%
Health Alliance Hmo $5 158%
Sisco Epi $5 158%
Sisco-All Other Plans $5 158%
Cigna $9 284%
Molina Mcaid - All Plans $9 284%
Ph Mcaid $9 284%
Priority Health - All Other Plans $10 315%
Multiplan - All Plans $25 789%
Benefit Source Inc-All Plans $26 820%
First Health-All Plans $26 820%
Usa Managed Care-All Plans $26 820%
Integrated Health Plans-All Plans $28 883%
UnitedHealthcare $29 915%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 602 Michigan Ave, Holland, MI 49423
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals