CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Jamaica Hospital Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Jamaica Hospital Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.
Cash / Self-Pay
$10

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: $10 (315%)
Insurance Median: $3 (95%)
Cash: $10 (315% 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
Ghi $2 - $3 63%
Aetna $3 95%
Beacon Health Strategies $3 95%
Centerlight Healthcare $3 95%
Centers Plan For Healthy Living $3 95%
Elderplan $3 95%
Empire $3 - $7 95%
Fidelis $3 95%
Healthfirst $3 95%
Hip $3 - $5 95%
Humana $3 95%
Metroplus $3 95%
Oscar $3 95%
Senior Whole Health $3 95%
UnitedHealthcare $3 - $4 95%
Villagecaremax $3 95%
Vns $3 95%
Wellcare Of Ny $3 95%
Centivo $4 126%
Hamaspik Choice $4 126%
Magnacare $4 126%
World Trade Center Program $4 126%
1999 National Benefit Fund $5 158%
Emblemhealth $5 158%
Cigna $6 189%
Empire Blue Priority $6 189%
Hotel Trades Council $1,912 60315%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 89Th Avenue and Van Wyck Expressway, Jamaica, NY 11418
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals