CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $221
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Southern Hills Hospital and Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 9300 West Sunset Rd, Las Vegas, NV.
Cash / Self-Pay
$221

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: $221 (6972%)
Insurance Median: $3 (95%)
Cash: $221 (6972% 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%
Caresource $2 63%
Community Care Health $2 63%
Molina Healthcare $2 63%
Sierra Hpn $2 63%
Alignment Health Plan $3 95%
Blue Cross Blue Shield $3 - $4 95%
Caremore $3 95%
Health Net $3 95%
Health Services Coalition $3 95%
Hometown Health Mcr $3 95%
Humana $3 95%
Imperial Nv $3 95%
Select Health $3 - $51 95%
Sierra $3 95%
Triwest $3 95%
United $3 - $48 95%
Universal Healthcare $4 126%
Aetna $5 158%
Cigna $8 252%
Corvel $12 379%
Olympus Medsave Usa $13 - $166 410%
Prominence Healthfirst $66 2082%
Cmn Global $93 2934%
Evernorth $110 3470%
Hometown Health Providers $110 3470%
Nv Health & Welfare Trust $133 4196%
Multiplan $139 - $161 4385%
First Health $146 - $177 4606%
Medcare International $166 5237%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 West Sunset Rd, Las Vegas, NV 89148
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals