CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Poplar Bluff Regional Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $127
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Poplar Bluff Regional Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$127

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: $127 (4006%)
Insurance Median: $3 (95%)
Cash: $127 (4006% 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 Services, Llc $2 - $284 63%
Blue Traditional $2 - $385 63%
Cigna $2 - $399 63%
Evolutions Healthcare $2 - $272 63%
First Health $2 - $324 63%
Healthlink $2 - $312 63%
Parker Hannifin $2 - $349 63%
Tyson Foods $2 - $274 63%
UnitedHealthcare $2 - $268 63%
Blue Access $3 95%
Blue Cross Blue Shield $3 - $129 95%
Centurion Correctional $3 - $4 95%
Compresults Wc $3 - $449 95%
Coventry Wc $3 - $399 95%
Humana $3 95%
Medicaid / KanCare $3 - $100 95%
Medicare (plans) $3 95%
Multiplan $3 - $434 95%
Municipal Health $3 - $399 95%
Node Ahs Mcr Adv $3 95%
Node Champva $3 95%
Node Devoted Health Mcr Adv $3 95%
Node Hospice Non Par Agree $3 95%
Node United Behavioral Health Mcr Adv $3 95%
Node Va $3 95%
Phcs $3 - $434 95%
Tricare $3 95%
Veterans Eval Services $3 95%
Node Pphp Mcr Adv $4 126%
Us Department Of Labor $4 126%
Naphcare $6 189%
Home State Exchange $8 252%
W W Wood $8 252%
Self Pay $120 3785%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals