CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Blount Memorial Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $22
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Blount Memorial Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.
Cash / Self-Pay
$22

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: $22 (694%)
Insurance Median: $5 (158%)
Cash: $22 (694% 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
Medicaid / KanCare $1 - $5 32%
Blue Cross Blue Shield $2 - $3 63%
Golden Rule Insurance Company [2991] $2 63%
Oxford Health Plans [2992] $2 63%
UnitedHealthcare $2 - $4 63%
Cigna $3 - $4 95%
Humana $3 95%
Medicare (plans) $3 95%
Mvp Health Care [3037] $3 95%
Tricare $3 95%
Ambetter / Centene $5 158%
Consociate Health Contracted [4835] $7 221%
Fairos/Occunet Contracted [4837] $7 221%
Prisma Health Seniorcare Pace - Midlands [5400] $17 536%
Prisma Health Seniorcare Pace-Upstate [5200] $17 536%
Promise Health Plan Contracted [2401] $25 - $43 789%
Orangeburg Senior Helping Center Pace [5401] $29 915%
Bob Jones Univ-Pai [821] $43 1356%
Preferred Administrators Contracted [2839] $50 1577%
Medcost [2940] $53 - $60 1672%
Atlantic Packaging Contracted [4833] $54 1703%
Aps Healthcare System [2981] $58 1830%
Multiplan/Phcs Contracted [2950] $64 2019%
Aetna $65 2050%
Meritain Health Contracted [2200] $65 2050%
Nippon [2300] $65 2050%
Vsp Vision Care [2986] $65 2050%
First Health Contracted [2952] $67 2114%
Furman Int/Allen University Student [2951] $67 2114%
Quiktrip-First Health [3067] $67 2114%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 907 E Lamar Alexander Parkway, Maryville, TN 37804
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals