CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Sunrise Hospital and Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $13
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Sunrise Hospital and Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$13

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $13 (410%)
Insurance Median: $3 (95%)
Cash: $13 (410% of Medicare)
Ins. Median: $3 (95% 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
Ambetter / Centene $2 - $3 63%
Amerigroup $2 63%
Blue Cross Blue Shield $2 - $4 63%
Caresource $2 63%
Cigna $2 - $8 63%
Community Care Health $2 63%
Health Plan Nevada $2 63%
Humana $2 - $4 63%
Molina $2 63%
Molina Healthcare $2 63%
Sierra Hpn $2 63%
Silver Summit $2 63%
United $2 - $157 63%
Aetna $3 - $5 95%
Alignment Health Plan $3 95%
Caremore $3 95%
Health Net $3 95%
Health Services Coalition $3 95%
Hometown Health Mcr $3 95%
Imperial Nv $3 95%
Select Health $3 - $173 95%
Sierra $3 - $4 95%
Triwest Healthcare Alliance $3 95%
Universal Healthcare $4 126%
Corvel $10 - $12 315%
Legacy Provider Network $10 315%
Comp-Med Workers Comp $11 347%
Olympus Medsave Usa $11 - $562 347%
Prominence Healthfirst $225 7098%
Cmn Global $315 9937%
Hometown Health Providers $375 11830%
Nv Health & Welfare Trust $450 14196%
Multiplan $472 - $548 14890%
First Health $495 - $600 15615%
Medcare International $562 17729%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals