CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Cumberland Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Cumberland Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 421 S Main St, Crossville, TN.
Cash / Self-Pay
$10

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: $10 (315%)
Insurance Median: $4 (126%)
Cash: $10 (315% 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
Wellpoint $1 - $4 32%
UnitedHealthcare $2 - $4 63%
Tricare $3 95%
Aetna $4 - $5 126%
Blue Cross Blue Shield $4 - $7 126%
Cigna $4 - $7 126%
Devoted Health $4 126%
Farm Bureau $4 126%
Humana $4 126%
Wellcare $4 126%
Ehn $14 442%
Correctional Medical Services $19 599%
Community Services Network $21 662%
Usa Managed Care Organization $22 694%
Novanet $24 757%
Direct Care America $26 820%
Medsave Usa $26 820%
National Provider Network $26 820%
Beech Street $27 852%
Ccn Managed Care $27 852%
Initial Group $28 883%
Galaxy Health Network $29 915%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 S Main St, Crossville, TN 38555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals