CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Fostoria Community Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $34
Cash Discount Price: $43
vs. Medicare Baseline: 10.73x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Fostoria Community Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $43. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 10.73x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$43

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

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: $43 (1356%)

Insurance Median: $34 (1073%)

Cash: $43 (1356% of Medicare)

Ins. Median: $34 (1073% 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 1073% of the Medicare baseline (a markup of 973%). 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
Meridian Health Plan Of Mi	$2	63%
Blue Cross Blue Shield	$3 - $43	95%
Buckeye Community Health Plan	$3 - $15	95%
Health Alliance Plan	$3 - $50	95%
Health Value Management	$3 - $14	95%
Paramount Health Care	$3 - $35	95%
Aetna	$4 - $44	126%
Buckeye Community Health Plan Inc	$4 - $24	126%
Dayton Area Health Plan Dba Caresource	$5 - $27	158%
UnitedHealthcare	$5 - $39	158%
Amerihealth	$10	315%
Veterans Affairs	$15	473%
Medical Mutual Of Ohio	$37 - $40	1167%
Frontpath Health Coalition	$38	1199%
Ohio Health Choice	$43	1356%
Ohio Ppo Connect	$43 - $50	1356%
Health Ohio Network	$52	1640%
Connecticut General Life Insurance Company	$53	1672%

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 $43.
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 Fostoria Community 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.