CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Lovelace Regional Hospital - Roswell

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $244
Cash Discount Price: $81
vs. Medicare Baseline: 76.97x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Lovelace Regional Hospital - Roswell is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 76.97x the Medicare baseline. Located in 117 East 19Th Street, Roswell, NM.

Cash / Self-Pay

$81

Average discount available for prompt cash payment at this facility.

Insurance Median

$244

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: $81 (2555%)

Insurance Median: $244 (7697%)

Cash: $81 (2555% of Medicare)

Ins. Median: $244 (7697% 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 7697% of the Medicare baseline (a markup of 7597%). 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
Magellan Behavioral Commercial [2895]	$54	1703%
Presbyterian Health Plan [1830]	$54	1703%
The Health Plan [2915]	$55	1735%
UnitedHealthcare	$86	2713%
Benefit Management [1175]	$136	4290%
Medicare (plans)	$136	4290%
Zelis [2385]	$136	4290%
Caprock Health Plans [1200]	$176	5552%
Cigna	$186	5868%
Samba Health [2305]	$186	5868%
Administrative Concepts [1005]	$244	7697%
Aetna	$244	7697%
Allied Benefit Systems Inc [1030]	$244	7697%
Allied National Global Care [1035]	$244	7697%
American Medical Security [2190]	$244	7697%
Boon-Chapman [2375]	$244	7697%
Coresource [1315]	$244	7697%
Emblem Health [2430]	$244	7697%
Employee Benefit Management Services [2445]	$244	7697%
Healthcost Solutions [2415]	$244	7697%
Kaiser Permanente [1560]	$244	7697%
Multiplan [1680]	$244	7697%
Mutual Of Omaha [1685]	$244	7697%
National Telephone Cooperative [1700]	$244	7697%
Northamerica Administrators [1725]	$244	7697%
Pan American Life Insurance Co [1770]	$244	7697%
Phcs [1780]	$244	7697%
Trustmark [2030]	$244	7697%

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 $81.
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 Lovelace Regional Hospital - Roswell 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.