CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Neshoba County General Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $11
  • Cash Discount Price: $19
  • vs. Medicare Baseline: 3.47x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Neshoba County General Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 3.47x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$19

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

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: $19 (599%)
Insurance Median: $11 (347%)
Cash: $19 (599% of Medicare)
Ins. Median: $11 (347% 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 347% of the Medicare baseline (a markup of 247%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Humana $3 95%
Magnolia Mcaid $3 95%
Magnolia Mcr Adv-All Other Plans $3 95%
Molina Comm-All Other Plans $3 95%
Molina Mcaid $3 95%
Molina Mcr Adv $3 95%
Mpcn Mcaid $3 95%
Tricare $3 95%
UnitedHealthcare $3 - $18 95%
Wellcare Mcr Adv-All Plans $3 95%
First Choice Comm Ip/Op Only - All Plans $4 126%
Aetna $18 568%
Geha-All Plans $18 - $32 568%
Multiplan-All Plans $18 - $32 568%
Cigna $23 726%
Ahs Ip/Op Only-All Plans $26 820%
Blue Cross Blue Shield $28 883%
Affordable Health Care-All Plans $30 946%
Health Choice Ip/Op Only-All Plans $30 946%
Health Link Ip/Op Only-All Plans $30 946%
Mpcn Ip/Op Only-All Other Plans $44 1388%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL