CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Curry General Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $67
Cash Discount Price: $70
vs. Medicare Baseline: 21.14x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Curry General Hospital is $67. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 21.14x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$70

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $70 (2208%)

Insurance Median: $67 (2114%)

Cash: $70 (2208% of Medicare)

Ins. Median: $67 (2114% 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 2114% of the Medicare baseline (a markup of 2014%). 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
Medicaid / KanCare	$3 - $44	95%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$3	95%
Blue Cross Blue Shield	$4 - $70	126%
Tricare	$22	694%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$30	946%
Medicare (plans)	$30 - $46	946%
Department Of Corrections [1051]	$46	1451%
Coordinated Care Commercial [1649]	$60	1893%
Moda [512]	$60 - $63	1893%
Pacificsource [1148]	$60	1893%
Multiplan [1131]	$64	2019%
Asuris [1258]	$66	2082%
First Choice Health Admin [1294]	$66	2082%
First Choice [528]	$66	2082%
Operating Engineers [1144]	$66	2082%
Regence [1351]	$66 - $70	2082%
Cigna	$69 - $70	2177%
Coventry First Health Managed Care [1774]	$69	2177%
Coventry Health [1046]	$69	2177%
Providence Health Plan Plm Alt [1692]	$69	2177%
Providence Health Plan [567]	$69	2177%
Aetna	$70	2208%
Employee Bene Admin Mgmt [525]	$70	2208%
Geha [531]	$70	2208%
Mailhandlers Benefit Pln [547]	$70	2208%
Meritain [550]	$70	2208%
Nw Sheet Metal Workers [597]	$70	2208%
Trustmark [524]	$70	2208%
UnitedHealthcare	$70	2208%
Zenith Administrators [586]	$70	2208%
Allcare Alt [2598]	$300	9464%
Allcare [1695]	$300	9464%

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 $70.
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 Curry General 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.