CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Merit Health River Region

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Merit Health River Region is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 2100 Hwy 61 N, Vicksburg, MS.
Cash / Self-Pay
$62

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: $62 (1956%)
Insurance Median: $3 (95%)
Cash: $62 (1956% 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
Aetna $3 - $8 95%
Caresource Truecare $3 95%
Department Of Veterans Affairs $3 95%
First Choice $3 - $194 95%
Humana $3 95%
Magnolia $3 95%
Magnolia Mcd Chip $3 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
Molina Chip $3 95%
Node Devoted Health Mcr Adv $3 95%
Node First Choice American Health Of Ms Mcr Adv $3 95%
Node First Choice Wellcare Mcr Adv $3 95%
Node Healthy Mississippi Mcr Adv $3 95%
Node Hospice Non Par Agree $3 95%
Node Magnolia Mcr Adv $3 95%
Node Molina Mcr Adv $3 95%
Node Peoples Health Mcr Adv $3 95%
Node Va $3 95%
Node Vantage Mcr Adv $3 95%
Node Windsor Mcr Adv $3 95%
Tricare $3 95%
UnitedHealthcare $3 - $35 95%
Veterans Eval Services $3 95%
Node Us Dept Of Labor $4 126%
Advanced Health Systems $5 158%
Node Seven Corners $5 158%
Blue Cross Blue Shield $6 189%
Magnolia Exchange $6 189%
Molina Exchange $6 189%
Ms Work Comp $6 189%
Vantage Commercial $7 221%
Self Pay $46 - $77 1451%
Medpartners $52 1640%
Trimed Billing Solutions $77 2429%
Cigna $107 - $181 3375%
First Choice Mpcn Standard $142 4479%
Phcs $155 4890%
Ms Health Partners $194 6120%
Ms Dept Of Rehabilitation Services $258 8139%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2100 Hwy 61 N, Vicksburg, MS 39183
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals