CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Anmed Health
Billing Code: 81001 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 81001
- Insurance Median: $5
- Cash Discount Price: $54
- vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Anmed Health is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 800 N Fant St, Anderson, SC.
Cash / Self-Pay
$54
Average discount available for prompt cash payment at this facility.
Insurance Median
$5
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: $54 (1703%)
Insurance Median: $5 (158%)
Cash: $54 (1703% of Medicare)
Ins. Median: $5 (158% 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 |
|---|---|---|
| Aetna | $2 - $5 | 63% |
| Cigna | $2 - $209 | 63% |
| Mail Handlers Benefit Plan [327] | $2 - $5 | 63% |
| Medicaid / KanCare | $2 - $209 | 63% |
| Nalc Health Benefit Plan [291] | $2 - $114 | 63% |
| Rural Carrier Benefit Plan [406] | $2 - $5 | 63% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $3 | 95% |
| Absolute Total Care Mcr Plans [41] | $3 | 95% |
| Absolute Total Care [58] | $3 - $4 | 95% |
| Blue Choice Health Plan [922] | $3 - $98 | 95% |
| Blue Cross Blue Shield | $3 - $199 | 95% |
| Bright Health Alt Payer [1001] | $3 | 95% |
| Bright Health [11] | $3 | 95% |
| Champva [604] | $3 | 95% |
| Devoted Health Alt Payer [9401] | $3 | 95% |
| Devoted Health [94] | $3 | 95% |
| First Choice Vip Careplus Alt Payer [3301] | $3 | 95% |
| First Choice Vip [33] | $3 | 95% |
| Geha [302] | $3 - $111 | 95% |
| Golden Rule Ins Co [584] | $3 - $111 | 95% |
| Humana | $3 - $150 | 95% |
| Medicare (plans) | $3 - $209 | 95% |
| Molina Dual Options Alt Payer [1501] | $3 | 95% |
| Molina Dual Options [15] | $3 | 95% |
| Nhc Advantage Alt Payer [6101] | $3 | 95% |
| Nhc Advantage [61] | $3 | 95% |
| Select Health Of Sc [637] | $3 - $4 | 95% |
| Tricare | $3 | 95% |
| UnitedHealthcare | $3 - $209 | 95% |
| Vaccn - Va Community Care Network [16] | $3 | 95% |
| Veterans Administration [633] | $3 | 95% |
| Other Hospital Payers [1991] | $4 - $209 | 126% |
| Planned Administrators [886] | $4 - $35 | 126% |
| Ambetter / Centene | $5 | 158% |
| First Choice Next [96] | $5 | 158% |
| Medcost [206] | $5 - $188 | 158% |
| Molina Marketplace [97] | $5 | 158% |
| Workers Compensation [622] | $5 | 158% |
| Edison Health Solutions [95] | $6 | 189% |
| Healthscope [98] | $6 | 189% |
| Thomas Cooper & Company [315] | $12 - $35 | 379% |
| Employee Benefit Management Services [869] | $17 - $59 | 536% |
| Preferred Administrators [19] | $21 - $125 | 662% |
| Phcs [940] | $31 - $184 | 978% |
| Coventry Health [245] | $130 - $185 | 4101% |
| American Continental Ins [778] | $181 - $209 | 5710% |
| American Republic Life Ins [722] | $181 - $209 | 5710% |
| Business Office [6000] | $181 - $209 | 5710% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $181 - $209 | 5710% |
| First Health [946] | $181 - $209 | 5710% |
| Guarantee Trust Life Insurance [236] | $181 - $209 | 5710% |
| Home Health Infusion Payer [6001] | $181 - $209 | 5710% |
| Manhattan Life Ins Co [932] | $181 - $209 | 5710% |
| Miscellaneous Commercial [1] | $181 - $209 | 5710% |
| New Era Life Ins Co [437] | $181 - $209 | 5710% |
| Non-Contracted [22] | $181 - $209 | 5710% |
| Physicians Mutual [773] | $181 - $209 | 5710% |
| Reference Based Pricing/Limited Plan [21] | $181 - $209 | 5710% |
| State Farm Ins Co [373] | $181 - $209 | 5710% |
| Sterling Investors Life [244] | $181 - $209 | 5710% |
| Supermed/Med Mutual Of Ohio [539] | $181 - $209 | 5710% |
| United American Ins Co [277] | $181 - $209 | 5710% |