CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Ochsner Scott Regional

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $12
Cash Discount Price: $37
vs. Medicare Baseline: 3.79x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Ochsner Scott Regional is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 3.79x the Medicare baseline. Located in 317 Highway 13 South, Morton, MS.

Cash / Self-Pay

$37

Average discount available for prompt cash payment at this facility.

Insurance Median

$12

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: $37 (1167%)

Insurance Median: $12 (379%)

Cash: $37 (1167% of Medicare)

Ins. Median: $12 (379% 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 379% of the Medicare baseline (a markup of 279%). 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
Humana	$2 - $29	63%
UnitedHealthcare	$2 - $29	63%
Cigna	$3 - $33	95%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$3 - $30	95%
Medicaid / KanCare	$3	95%
Medicare (plans)	$3 - $34	95%
Primewell Health Services Commercial Exchange Plan	$3 - $35	95%
Primewell Health Services – Commercial	$3 - $35	95%
Shared Health Mississippi	$3 - $31	95%
Ambetter / Centene	$4 - $30	126%
Prime Health Services Ppo	$4 - $47	126%
Blue Cross Blue Shield	$5 - $6	158%
Aetna	$6 - $38	189%
Cor Vel	$6	189%
Prime Health Services Ppo -Workers Comp	$6	189%
Zelis	$7 - $44	221%
Claritev D/B/A Multiplan/Phcs/American Life Care	$11 - $44	347%
Select Administrative Services Network	$16 - $41	505%

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 $37.
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 Ochsner Scott Regional 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.