CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: University Health System, Inc

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $10
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at University Health System, Inc is $5. 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 1.58x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.
Cash / Self-Pay
$10

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: $10 (315%)
Insurance Median: $5 (158%)
Cash: $10 (315% 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
UnitedHealthcare $1 - $27 32%
Blue Cross Blue Shield $2 - $25 63%
Aetna $3 - $27 95%
American Health $3 95%
Choicecare $3 - $4 95%
Cigna $3 - $30 95%
Devoted Health $3 95%
Humana $3 95%
Medicare (plans) $3 95%
Nhc $3 95%
Wellcare $3 95%
Wellcare-Windsor Medadv $3 95%
Wellpoint $3 - $4 95%
Bluecare $4 126%
Tenncare $4 126%
Multiplan $5 - $23 158%
Nx Health 1 $5 158%
Nx Health 2 $5 158%
Coventry $6 - $27 189%
Novanet $6 189%
First Health $7 221%
Beechstreet $9 - $29 284%
Fentress County Sheriffs Dept $16 505%
Nx Health $23 726%
Phcs $23 726%
Naphcare $25 789%
Prime Health $29 - $39 915%
Seven Corners $29 915%
Usa $31 978%
Evolutions $35 1104%
Galaxy $35 1104%
Healthsmart $35 1104%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals