CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: University Hospitals Conneaut Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $88
  • Cash Discount Price: $119
  • vs. Medicare Baseline: 27.76x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at University Hospitals Conneaut Medical Center is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 27.76x the Medicare baseline. Located in 158 West Main Road, Conneaut, OH.
Cash / Self-Pay
$119

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

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: $119 (3754%)
Insurance Median: $88 (2776%)
Cash: $119 (3754% of Medicare)
Ins. Median: $88 (2776% 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 2776% of the Medicare baseline (a markup of 2676%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $4 - $150 126%
University Health Employee Plan (Contigo) $4 126%
Aetna $8 - $87 252%
Cigna $49 - $116 1546%
Devoted $49 1546%
Humana $49 1546%
Medical Mutual Of Ohio $49 - $149 1546%
Molina $49 1546%
Primetime Health Plan $49 1546%
Summacare $49 - $81 1546%
The Health Plan $49 - $104 1546%
UnitedHealthcare $49 - $58 1546%
Wellcare By Allwell $49 1546%
Paramount $50 1577%
Perennial Advantage Of Ohio $51 1609%
Valor Health Plans $51 1609%
Amish Aid Community Plan $73 2303%
Amish Church Fund And Workers Aid Plan $73 2303%
Buckeye Plain Ministries $73 2303%
Jp Farley $74 2334%
Clarity $76 2397%
Christian Healthcare Ministries $79 2492%
Immergrun $79 2492%
Sunrise Plan Communities $79 2492%
Aultcare $87 2744%
Ambetter / Centene $88 2776%
Caresource $88 2776%
Healthsmart $103 3249%
Ohio Health Choice $103 - $142 3249%
Medical Mutual Traditional/Health Ohio $111 3502%
Beech Street $126 - $142 3975%
Ohio Preferred Network $126 - $142 3975%
First Health $131 4132%
Century Health Network $134 4227%
Private Healthcare System $136 4290%
Configurenet $142 4479%
Fortified Provider Network $142 4479%
Multiplan $142 4479%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals