CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $8
Cash Discount Price: $50
vs. Medicare Baseline: 2.52x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Mary Hitchcock Memorial Hospital is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 2.52x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$50

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $50 (1577%)

Insurance Median: $8 (252%)

Cash: $50 (1577% of Medicare)

Ins. Median: $8 (252% 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 252% of the Medicare baseline (a markup of 152%). 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
Blue Cross Blue Shield	$2 - $143	63%
UnitedHealthcare	$2 - $126	63%
Aetna	$3 - $115	95%
Ambetter / Centene	$3 - $10	95%
Amerihealth Caritas Nh	$3 - $19	95%
Beacon Health Strategies/Carelon	$3 - $20	95%
Cigna	$3 - $112	95%
Granite State Health Plan	$3 - $21	95%
Harvard Pilgrim Health Care Of Ne	$3 - $105	95%
Martin'S Point Generations Advantage	$3	95%
Martin'S Point Health Care	$3 - $57	95%
Mvp	$3 - $110	95%
Wellcare Health Plans	$3	95%
Wellsense Health Plan	$3 - $20	95%
Mass General Brigham Health Plan	$8 - $102	252%
Tufts Health Plan	$9 - $96	284%
Maine Community Health Options	$104 - $121	3281%
Coventry	$143	4511%
First Health/Hcvm	$143	4511%
Phcs	$148	4669%
Corvel	$151	4763%
Ccmsi	$156	4921%

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 $50.
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 Mary Hitchcock Memorial Hospital 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.