CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Mary Lanning Healthcare

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $6
  • Cash Discount Price: $45
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Mary Lanning Healthcare is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $45. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.89x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.
Cash / Self-Pay
$45

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $45 (1420%)
Insurance Median: $6 (189%)
Cash: $45 (1420% of Medicare)
Ins. Median: $6 (189% 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 $2 - $80 63%
Blue Cross Blue Shield $3 - $91 95%
Medica Mcr Adv $3 95%
Ne Total Care Mcr Adv $3 95%
Tricare $3 95%
UnitedHealthcare $3 - $5 95%
Va Ccn - All Plans $3 95%
Ambetter / Centene $5 - $14 158%
Consociate Inc-All Plans $5 - $76 158%
Medica-All Other Plans $6 - $79 189%
Workers Compensation-All Plans $7 - $89 221%
Multiplan-All Plans $9 - $86 284%
Provider Network Of America-All Plans $9 - $82 284%
Nhn/Mna-All Plans $73 2303%
Midlands Choice-All Plans $82 2587%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 715 N St Joseph Ave, Hastings, NE 68901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals