CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Merit Health Women's Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $63
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Merit Health Women's Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $63. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 1026 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$63

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: $63 (1987%)
Insurance Median: $3 (95%)
Cash: $63 (1987% 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
First Choice Mpcn $1 - $126 32%
First Choice Standard $1 - $128 32%
State Hospital $1 - $106 32%
Aetna $2 - $195 63%
Benefit Management Systems $2 - $237 63%
Coventry First Health $2 - $145 63%
First Choice Ppo Plus $2 - $153 63%
Advanced Health Systems $3 - $5 95%
Blue Cross Blue Shield $3 - $6 95%
Caresource Truecare $3 95%
First Choice Stratose $3 - $223 95%
Health Choice Of Mississippi $3 - $223 95%
Humana $3 95%
Magnolia Mcd Ms Chip $3 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
Mississippi Department Of Rehabilitation Services $3 - $279 95%
Molina Chip $3 95%
Molina Exchange $3 - $6 95%
Ms Work Comp $3 - $279 95%
Node Champva $3 95%
Node Devoted Health Mcr Adv $3 95%
Node First Choice American Health Of Ms Mcr Adv $3 95%
Node First Choice Seven Corners $3 - $5 95%
Node First Choice Wellcare Mcr Adv $3 95%
Node Healthy Mississippi Mcr Adv $3 95%
Node Molina Mcr Adv $3 95%
Node Shared Health Of Ms Mcr Adv $3 95%
Node Va $3 95%
Node Vantage Health Mcr Adv $3 95%
Node Windsor Mcr Adv $3 95%
Prime Health Services $3 - $223 95%
Tricare $3 95%
UnitedHealthcare $3 - $80 95%
Veterans Eval Services $3 95%
Node Us Dept Of Labor $4 126%
First Choice Preferred $5 158%
Occunet $5 158%
Magnolia Exchange $6 189%
First Choice Lgp $7 221%
Vantage Health $7 221%
Cigna $61 1924%
Self Pay $61 1924%
Trimed Billing Solutions $84 2650%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1026 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals