CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Trinity Health Ann Arbor Hospital
Billing Code: 81001 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 81001
- Insurance Median: $15
- Cash Discount Price: $124
- vs. Medicare Baseline: 4.73x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Trinity Health Ann Arbor Hospital is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 4.73x the Medicare baseline. Located in 5301 E Huron River Dr, Ann Arbor, MI.
Cash / Self-Pay
$124
Average discount available for prompt cash payment at this facility.
Insurance Median
$15
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: $124 (3912%)
Insurance Median: $15 (473%)
Cash: $124 (3912% of Medicare)
Ins. Median: $15 (473% 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 473% of the Medicare baseline (a markup of 373%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $2 - $4 | 63% |
| Medicaid / KanCare | $2 | 63% |
| Aetna | $3 - $24 | 95% |
| Align Senior Care | $3 | 95% |
| Angela Hospice | $3 | 95% |
| Blue Care Network Advantage | $3 | 95% |
| Cca - Zing Health | $3 | 95% |
| Hospice Advantage | $3 | 95% |
| Huron Valley Pace | $3 | 95% |
| Medicare (plans) | $3 | 95% |
| UnitedHealthcare | $3 - $47 | 95% |
| Bcn Domestic | $4 | 126% |
| Blue Benefit Administrators Of Massachusetts | $4 | 126% |
| Blue Care Network | $4 | 126% |
| Blue Distinction Transplant | $4 | 126% |
| Blue Shield - Ca | $4 | 126% |
| Blue Shield - Id (Regence) | $4 | 126% |
| Blue Shield - Ny Highmark Northeastern | $4 | 126% |
| Blue Shield - Ny Highmark Western | $4 | 126% |
| Blue Shield - Pa (Highmark) | $4 | 126% |
| Blue Shield - Wa (Regence) | $4 | 126% |
| Health Choices | $4 - $40 | 126% |
| Kaiser Domestic | $4 | 126% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $4 | 126% |
| Molina Marketplace | $4 | 126% |
| Geha | $5 - $38 | 158% |
| Health Cost Solutions | $5 | 158% |
| Meritain | $5 | 158% |
| U Of M Health Plan | $5 | 158% |
| Vitalcore | $5 | 158% |
| Wellpath | $5 | 158% |
| Employee Benefit Logistic | $7 | 221% |
| Priority Health | $8 | 252% |
| Asr Health Benefits | $10 | 315% |
| Caresource | $10 | 315% |
| Hap | $10 - $40 | 315% |
| Varipro | $10 | 315% |
| Point Comfort Underwriters | $13 | 410% |
| Wc Accident Fund | $15 | 473% |
| Wc Advantage | $15 | 473% |
| Wc Aig | $15 | 473% |
| Wc Allied | $15 | 473% |
| Wc Amerisure | $15 | 473% |
| Wc Amtrust | $15 | 473% |
| Wc Asu Risk Mgt | $15 | 473% |
| Wc Berkley Admin | $15 | 473% |
| Wc Broadspire | $15 | 473% |
| Wc Bunch & Associates | $15 | 473% |
| Wc Ccmsi | $15 | 473% |
| Wc Emc Insurance Company | $15 | 473% |
| Wc Esis | $15 | 473% |
| Wc Fcci | $15 | 473% |
| Wc Federated | $15 | 473% |
| Wc Gallagher Bassett | $15 | 473% |
| Wc Genex Care For Ohio | $15 | 473% |
| Wc Guard Insurance Company | $15 | 473% |
| Wc Hartford | $15 | 473% |
| Wc Liberty Mutual | $15 | 473% |
| Wc Meijers | $15 | 473% |
| Wc Michigan | $15 | 473% |
| Wc Mitchell Frankenmuth | $15 | 473% |
| Wc Pma | $15 | 473% |
| Wc Sedgwick | $15 | 473% |
| Wc Sentry | $15 | 473% |
| Wc Travelers | $15 | 473% |
| Wc Tristar | $15 | 473% |
| Wc Walmart | $15 | 473% |
| Wc Zurich | $15 | 473% |
| Acs Benefit Services | $24 | 757% |
| Allied Benefit Systems | $24 | 757% |
| Claimchoice Adminstrators | $24 | 757% |
| Consociate | $24 | 757% |
| Cypress Benefit Administrators | $24 | 757% |
| Forest County Potawatomi | $24 | 757% |
| Health Smart | $24 | 757% |
| Healthgram | $24 | 757% |
| Healthscope | $24 | 757% |
| Secureone Preferred United Plans | $24 | 757% |
| Sisco Benefits | $24 | 757% |
| The Health Plan | $24 | 757% |
| Trustmark Small Business Benefits | $24 | 757% |
| Unified Group Services | $24 | 757% |
| Webtpa | $24 | 757% |
| Crime Victim Assistance | $25 | 789% |
| 1199 National Benefit Fund | $40 | 1262% |
| Access Health | $40 | 1262% |
| Acclaim | $40 | 1262% |
| Administrative Concepts | $40 | 1262% |
| Allegeant | $40 | 1262% |
| Allied National Global Care | $40 | 1262% |
| Ameriben | $40 | 1262% |
| American Family | $40 | 1262% |
| American Healthcare Alliance | $40 | 1262% |
| American National | $40 | 1262% |
| American Republic | $40 | 1262% |
| Amerihealth | $40 | 1262% |
| Asrm - Reliance Standard Life Insurance | $40 | 1262% |
| Aultcare | $40 | 1262% |
| Automated Benefit Services | $40 | 1262% |
| Auxiant | $40 | 1262% |
| Benefit Administrative Systems,Llc | $40 | 1262% |
| Boon Chapman | $40 | 1262% |
| Cam Administrative Services | $40 | 1262% |
| Christian Brother Services | $40 | 1262% |
| Christian Brothers Holy Cross | $40 | 1262% |
| Christian Care Ministry | $40 | 1262% |
| Cigna | $40 | 1262% |
| Comprehensive Benefits | $40 | 1262% |
| Continental Life Insurance | $40 | 1262% |
| Coventry | $40 | 1262% |
| Custom Benefit Administrators | $40 | 1262% |
| Dean Health | $40 | 1262% |
| Employee Benefit Concepts | $40 | 1262% |
| Employee Benefit Management | $40 | 1262% |
| Enterprise Group Planning | $40 | 1262% |
| Fallon Health | $40 | 1262% |
| Family Life Insurance Company | $40 | 1262% |
| Freedom Life Insurance Company | $40 | 1262% |
| Ghc Scw | $40 | 1262% |
| Group Administrators | $40 | 1262% |
| Group Marketing Services | $40 | 1262% |
| Group Pension Administrators | $40 | 1262% |
| Guardian | $40 | 1262% |
| Health America | $40 | 1262% |
| Health Partners | $40 | 1262% |
| Healthcare Management Admin | $40 | 1262% |
| Healthez | $40 | 1262% |
| Humana | $40 | 1262% |
| Insight | $40 | 1262% |
| Intercare | $40 | 1262% |
| International Benefit Administrators | $40 | 1262% |
| Jfp Benefit Management | $40 | 1262% |
| Jp Farley Corporation | $40 | 1262% |
| Key Benefit Administrator | $40 | 1262% |
| Liberty Union Life Assurance Co | $40 | 1262% |
| Lifetime Benefit Solutions | $40 | 1262% |
| Lucent Health | $40 | 1262% |
| Luminare Health | $40 | 1262% |
| Luminare Health (Detroit) | $40 | 1262% |
| Magnacare | $40 | 1262% |
| Manhattan Life | $40 | 1262% |
| Medben | $40 | 1262% |
| Medcost | $40 | 1262% |
| Medi Share | $40 | 1262% |
| Medical Mutual | $40 | 1262% |
| Multiplan | $40 | 1262% |
| Mutual Health Services | $40 | 1262% |
| Mutual Of Omaha | $40 | 1262% |
| Mvp | $40 | 1262% |
| Ncas | $40 | 1262% |
| Nippon Life Ins | $40 | 1262% |
| Nova | $40 | 1262% |
| Pai | $40 | 1262% |
| Painters Union Insurance Fund | $40 | 1262% |
| Pan-American Life | $40 | 1262% |
| Paramount Hmo | $40 | 1262% |
| Phcs | $40 | 1262% |
| Physicians Mutual | $40 | 1262% |
| Plumbers Local 98 Insurance Fund | $40 | 1262% |
| Prairie States | $40 | 1262% |
| Preferred One | $40 | 1262% |
| Primary Physician Care | $40 | 1262% |
| Professional Benefit Administrators | $40 | 1262% |
| Siho Insurance Services | $40 | 1262% |
| The Loomis Company | $40 | 1262% |
| Trinity Health Share | $40 | 1262% |
| Tufts Health Plan | $40 | 1262% |
| Unicare | $40 | 1262% |
| Us Health And Life | $40 | 1262% |
| Valenz | $40 | 1262% |
| Western & Southern Financial Group | $40 | 1262% |
| Wps | $40 | 1262% |
| First Health | $41 | 1293% |
| Prime Health Services | $42 | 1325% |
| Correctional Healthcare Consultants | $47 | 1483% |
| Three Rivers Provider Network | $47 | 1483% |
| Bcccp-Michigan | $52 | 1640% |
| Cmh Detroit Wayne Integrated Health Network | $52 | 1640% |
| Cmh Lenawee County | $52 | 1640% |
| Cmh Livingston County | $52 | 1640% |
| Cmh Misc | $52 | 1640% |
| Cmh Monroe County | $52 | 1640% |
| Cmh Washtenaw County | $52 | 1640% |