CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $12
Cash Discount Price: $174
vs. Medicare Baseline: 3.79x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Oklahoma Heart Hospital South, LLC is $12. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $174. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 3.79x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$174

Average discount available for prompt cash payment at this facility.

Insurance Median

$12

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: $174 (5489%)

Insurance Median: $12 (379%)

Cash: $174 (5489% of Medicare)

Ins. Median: $12 (379% 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 379% of the Medicare baseline (a markup of 279%). 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 - $48	95%
Blue Cross Blue Shield	$3 - $12	95%
Cigna	$3 - $48	95%
Geha	$3	95%
Humana	$3 - $48	95%
Medicare (plans)	$3	95%
UnitedHealthcare	$3	95%
Va Ccn	$3	95%
Ambetter / Centene	$4	126%
Community Care	$6 - $48	189%
The Kempton Group	$8	252%
Healthcare Highways	$17 - $41	536%
Healthscope	$32	1009%
Oscar Insurance Company	$32	1009%
Webtpa Chickasaw Nation Hch	$32	1009%
Webtpa Hobby Lobby Hch	$37	1167%
Coventry	$41	1293%
Global Health	$43	1356%
Sana Benefits	$45	1420%
Ufcw	$45	1420%
First Health Network	$48	1514%
Manhattan Life	$48	1514%
Phcs	$48	1514%
Preferred Community Choice	$52	1640%
Multiplan	$62	1956%

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 $174.
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 Oklahoma Heart Hospital South, LLC 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.