CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Munson Healthcare Manistee Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $41
  • Cash Discount Price: $64
  • vs. Medicare Baseline: 12.93x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Munson Healthcare Manistee Hospital is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 12.93x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
$64

Average discount available for prompt cash payment at this facility.

Insurance Median
$41

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: $64 (2019%)
Insurance Median: $41 (1293%)
Cash: $64 (2019% of Medicare)
Ins. Median: $41 (1293% 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 1293% of the Medicare baseline (a markup of 1193%). 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
Blue Cross Blue Shield $2 - $38 63%
Mclaren Health Plan $2 - $56 63%
Meridian $2 63%
Molina $2 - $3 63%
Priority Health $2 - $14 63%
UnitedHealthcare $2 - $68 63%
Aetna $3 - $65 95%
Cigna $3 - $14 95%
Cofinity $3 - $66 95%
Hap (Health Alliance Plan) $3 - $60 95%
Humana $3 95%
Medicare (plans) $3 95%
Michigan Amish Medical Board $3 95%
Northern Michigan Mennonite Group $3 95%
Prime Health Services $3 - $69 95%
Wellcare Meridian $3 95%
Employee Benefits Logistics $5 158%
Hospice Of Michigan $45 1420%
Munson Hospice $52 - $852 1640%
Asr/Physicians Care $60 1893%
Enterprise Group Planning/Employee Benefits Plan $60 1893%
Medical Cost Savings Solution $60 1893%
Nomi Health $60 1893%
Provider Network Of America $64 2019%
Three Rivers Provider Network $64 2019%
Multiplan $66 2082%
Great West Healthcare $68 2145%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1465 E Parkdale Ave, Manistee, MI 49660
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals