CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $18
Cash Discount Price: $31
vs. Medicare Baseline: 5.68x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Ohiohealth Morrow County Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 5.68x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$18

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: $31 (978%)

Insurance Median: $18 (568%)

Cash: $31 (978% of Medicare)

Ins. Median: $18 (568% 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 568% of the Medicare baseline (a markup of 468%). 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
Blue Cross Blue Shield	$4 - $18	126%
Amerihealth Caritas - All Plans	$8	252%
Humana	$8 - $44	252%
Medicaid / KanCare	$8	252%
UnitedHealthcare	$8 - $39	252%
Molina Exchange - All Other Plans	$13	410%
Aetna	$18 - $41	568%
Medicare (plans)	$18	568%
Caresource Marketplace - All Other Plans	$22	694%
Medical Mutual Of Ohio Marketplace	$36	1136%
Ohiohealthy Network - All Other Plans	$36	1136%
Ohiohealthy Preferred	$36	1136%
Medical Mutual Of Ohio Comm - All Other Plans	$39	1230%
Medical Mutual Of Ohio - Admin Serv	$41	1293%
Phcs - All Plans	$44	1388%
Cigna	$45	1420%
Multiplan - All Plans	$45	1420%
Beech Street - All Plans	$46	1451%
Healthstar Comm - All Plans	$46	1451%

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 $31.
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 Ohiohealth Morrow County Hospital 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.