CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Cheshire Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $12
Cash Discount Price: $19
vs. Medicare Baseline: 3.79x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Cheshire Medical Center is $12. 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 3.79x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$19

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: $19 (599%)

Insurance Median: $12 (379%)

Cash: $19 (599% 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
Aetna	$3 - $47	95%
Ambetter / Centene	$3	95%
Amerihealth Caritas Nh	$3 - $8	95%
Blue Cross Blue Shield	$3 - $55	95%
Cigna	$3 - $34	95%
Granite State Health Plan	$3 - $12	95%
Martin'S Point Generations Advantage	$3	95%
Martin'S Point Health Care	$3	95%
Mvp	$3 - $34	95%
UnitedHealthcare	$3 - $52	95%
Wellcare Health Plans	$3	95%
Wellsense Health Plan	$3 - $10	95%
Mass General Brigham Health Plan	$4 - $69	126%
Harvard Pilgrim Health Care Of Ne	$5 - $31	158%
Tufts Health Plan	$8 - $44	252%
Maine Community Health Options	$31	978%
First Health/Hcvm	$59	1861%
Phcs	$62	1956%

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 $19.
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 Cheshire Medical Center 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.