CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Cayuga Medical Center at Ithaca

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $96
Cash Discount Price: $24
vs. Medicare Baseline: 30.28x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Cayuga Medical Center at Ithaca is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 30.28x the Medicare baseline. Located in 101 Dates Drive, Ithaca, NY.

Cash / Self-Pay

$24

Average discount available for prompt cash payment at this facility.

Insurance Median

$96

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: $24 (757%)

Insurance Median: $96 (3028%)

Cash: $24 (757% of Medicare)

Ins. Median: $96 (3028% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 3028% of the Medicare baseline (a markup of 2928%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $96	95%
Excellus	$3 - $97	95%
Molina	$3 - $7	95%
Fidelis	$30	946%
Cigna	$93 - $104	2934%
UnitedHealthcare	$101 - $114	3186%
Emblem Health	$104 - $116	3281%
Independent Health	$107 - $120	3375%
Wellcare	$114 - $127	3596%
Martins Point	$115 - $129	3628%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $24.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 81001.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cayuga Medical Center at Ithaca is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 81001.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.