CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Trident Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $156
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Trident Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.
Cash / Self-Pay
$156

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: $156 (4921%)
Insurance Median: $5 (158%)
Cash: $156 (4921% 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
Absolute Total Care $3 - $28 95%
Advantage Hospice $3 95%
Aetna $3 - $8 95%
Agape Hospice $3 95%
Arcadian $3 95%
Blue Cross Blue Shield $3 - $148 95%
Boldage Pace $3 95%
Cigna $3 95%
Clover $3 95%
Companion $3 95%
Devoted Health $3 95%
Eon Health $3 95%
Humana $3 - $117 95%
Molina $3 - $10 95%
Odyssey Hospice $3 95%
United $3 - $70 95%
United Behavioral Health $3 95%
Wellcare $3 95%
Blue Choice $4 126%
Corvel Corporation $4 126%
Employer'S Health Network $4 126%
Prime Health $4 - $133 126%
Universal Healthcare Group $4 126%
Heritage Summit $5 158%
Select Health $6 189%
Seven Corners $6 189%
Naphcare $7 221%
Sc State Employees $12 379%
Blue Choice Health Plan $25 789%
Nhc Advantage $30 946%
Pruitt Health $30 946%
Medcost $60 - $88 1893%
Employers Health Network $70 2208%
Occunet $78 2461%
Vocational Rehab $84 2650%
First Health $114 3596%
Mhnet $117 3691%
Evernorth $125 3943%
Multiplan $133 4196%
Novanet $140 4416%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9330 Medical Plaza Dr, Charleston, SC 29406
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals