CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Colleton Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $223
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Colleton Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $223. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
$223

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: $223 (7035%)
Insurance Median: $4 (126%)
Cash: $223 (7035% 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
Absolute Total Care $3 - $42 95%
Aetna $3 - $134 95%
Arcadian $3 95%
Blue Cross Blue Shield $3 - $220 95%
Boldage Pace $3 95%
Cigna $3 - $150 95%
Clover $3 95%
Devoted Health $3 95%
Eon Health $3 95%
Humana $3 - $209 95%
Molina $3 - $10 95%
Odyssey Hospice $3 95%
United $3 - $123 95%
United Behavioral Health $3 95%
Wellcare $3 95%
Align Networks $4 126%
Blue Choice $4 126%
Corvel Corporation $4 126%
Employer'S Health Network $4 126%
Prime Health $4 - $197 126%
Universal Healthcare Group $4 126%
Heritage Summit $5 158%
Select Health $6 189%
Seven Corners $6 189%
Medical Development $7 221%
Naphcare $7 221%
Sc State Employees $12 - $14 379%
Blue Choice Health Plan $32 - $34 1009%
Nhc Advantage $44 1388%
Pruitt Health $44 1388%
Employers Health Network $104 3281%
Value Option $116 3659%
Vocational Rehab $125 3943%
Medcost $131 - $169 4132%
Mhnet $174 5489%
Evernorth $186 5868%
Multiplan $197 6215%
North American Administrators $197 6215%
First Health $209 6593%
Novanet $209 6593%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals