CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Excela Health Westmoreland Regional Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Excela Health Westmoreland Regional Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 532 West Pittsburgh Street, Greensburg, PA.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $9 (284%)
Insurance Median: $4 (126%)
Cash: $9 (284% of Medicare)
Ins. Median: $4 (126% 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.

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
Upmc For Kids Chip $2 63%
Aetna $3 - $7 95%
American Health Plan Of Pa $3 95%
Amerihealth Caritas $3 - $4 95%
Cigna $3 - $5 95%
Community Blue $3 95%
Devoted $3 95%
Geisinger $3 - $4 95%
Health Partners Plan $3 95%
Health Partners Plans $3 95%
Highmark Advantage Community Blue $3 95%
Highmark Wholecare $3 - $4 95%
Humana $3 95%
Martin'S Point $3 95%
Pa Health And Wellness $3 - $4 95%
Peak Health $3 - $7 95%
Provider Network Of America $3 - $12 95%
Provider Plan Partners Plan $3 95%
The Health Plan Of West Virginia $3 - $7 95%
United $3 95%
Upmc $3 - $4 95%
Ambetter / Centene $4 126%
Highmark $4 - $7 126%
Highmark Children'S Health Insurance Program $4 126%
UnitedHealthcare $4 126%
Upmc Health Plan $4 - $11 126%
Velocity $5 158%
Va $102 - $128 3218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 532 West Pittsburgh Street, Greensburg, PA 15601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals