CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Harrison County Community Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $32
Cash Discount Price: $33
vs. Medicare Baseline: 10.09x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Harrison County Community Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 10.09x the Medicare baseline. Located in 2600 Miller Street, Bethany, MO.

Cash / Self-Pay

$33

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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: $33 (1041%)

Insurance Median: $32 (1009%)

Cash: $33 (1041% of Medicare)

Ins. Median: $32 (1009% 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 1009% of the Medicare baseline (a markup of 909%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Multiplan	$3 - $40	95%
Healthy Blue	$4	126%
Home State	$4	126%
UnitedHealthcare	$4 - $42	126%
Aetna	$28 - $44	883%
Allwell	$29	915%
Ambetter / Centene	$29	915%
Blue Advantage Plus	$29	915%
Care Improvement Plus	$29	915%
Humana	$29 - $45	915%
Provider Partners Health Plans	$31	978%
Blue Cross Blue Shield	$32 - $44	1009%
6 Degrees Health	$40	1262%
Cigna	$40	1262%
Wellmark	$40	1262%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $33.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 81001.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Harrison County Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 81001.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.