CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Good Samaritan Hospital Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Good Samaritan Hospital Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 1000 Montauk Highway, West Islip, NY.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $4 (126%)
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
Aetna $3 - $4 95%
Affinity Health Plan $3 - $7 95%
Agewell New York $3 95%
Blue Cross Blue Shield $3 - $12 95%
Centerlight Healthcare $3 95%
Centers Plan For Healthy Living $3 95%
Elderplan Inc. $3 95%
Emblem Health $3 - $7 95%
Fidelis Care New York $3 - $7 95%
Health First $3 - $7 95%
Health Plus $3 - $7 95%
Healthspring $3 95%
Humana $3 95%
Independent Health $3 95%
Liberty Health $3 95%
Longevity Health Plan $3 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
Mvp Health Plans $3 - $8 95%
Orthonet - Uniformed Services Family Health Plan $3 95%
Partners Health Plan $3 95%
Pmc $3 95%
Senior Whole Health $3 95%
Surest $3 95%
Tricare $3 95%
UnitedHealthcare $3 - $12 95%
Universal Healthcare $3 95%
Us Family Health Plan $3 95%
Veterans Affairs $3 95%
Wellcare Health Plan Inc $3 95%
Mail Handlers Benefit Plan $4 126%
Meritain Health $4 126%
Nippon Life Insurance Company Of America $4 126%
Salvation Army $4 126%
Zadroga $4 126%
Centivo $5 - $8 158%
American Plan Administrators $7 221%
Amerihealth Administrators $7 221%
Benefit Services $7 221%
Ghi Cbp Ny City Employee Alternate $7 221%
International Benefit Administrator $7 221%
Ultra Benefits Inc. $7 221%
Apwu $8 252%
Brighton $8 - $136 252%
Cigna $8 - $126 252%
Daniel H Cook $8 252%
Nalc $8 252%
Samba $8 252%
Self Pay $12 379%
Local 1199 $20 631%
Oscar Health $80 2524%
Allied Wellfare Fund $126 3975%
American Group Administrators $126 3975%
Bakery & Confectionery Union $126 3975%
Comprehensive Benefits Consultant $126 3975%
Guardian Life Insurance Company Of America $126 3975%
Maloney And Assoc $126 3975%
Multiplan $126 3975%
Performax $126 3975%
Phcs $126 3975%
Pomco $126 3975%
Tpa Inc $126 3975%
Unicare $126 3975%
United Employees Health Plan $126 3975%
Coventry $144 - $165 4543%
Galaxy $175 5521%
Three Rivers Provider Network $175 5521%
Aither Health $194 6120%
Alpha Care $194 6120%
Dentaquest $194 6120%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Montauk Highway, West Islip, NY 11795
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals