CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Saint Mary's Regional Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Saint Mary's Regional Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$3

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $3 (95%)
Insurance Median: $4 (126%)
Cash: $3 (95% of Medicare)
Ins. Median: $4 (126% 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
Access To Healthcare Network $1 32%
Blue Cross Blue Shield $2 - $3 63%
Health Plan Of Nevada $2 - $3 63%
Medicaid / KanCare $2 63%
Molina Healthcare Of Nv $2 - $3 63%
Silver Summit $2 - $6 63%
Aetna $3 - $8 95%
Alignment $3 95%
Medicare (plans) $3 95%
Saint Mary Health Plan $3 - $4 95%
Sierra $3 95%
Tricare $3 95%
Triwest $3 95%
UnitedHealthcare $3 - $4 95%
Employer Direct $4 126%
Home Town Test $4 126%
Naphcare $4 126%
Occunet $4 - $87 126%
Pam $4 126%
Veterans Evaluation Service Ves $4 126%
Asserta Health $5 158%
Imperial Insurance Company $5 - $6 158%
6 Degrees $6 189%
Nevada Health Partners $6 189%
Custom Ink $7 221%
Nv Preferred $7 221%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals