CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Lafollette Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $62
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Lafollette Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$62

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $62 (1956%)
Insurance Median: $3 (95%)
Cash: $62 (1956% of Medicare)
Ins. Median: $3 (95% 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
Amerigroup $1 32%
Blue Cross Blue Shield $2 - $36 63%
Bluecare $2 - $3 63%
Medicaid / KanCare $2 - $3 63%
UnitedHealthcare $2 - $208 63%
Aetna $3 - $129 95%
Humana $3 95%
Medicare (plans) $3 95%
Node Amerigroup Mcr Adv $3 95%
Node Blueadvantage Mcr Adv $3 95%
Node Bluecare Plus Tn Mcr Adv $3 95%
Node Champva $3 95%
Node Devoted Health Mcr Adv $3 95%
Node Farm Bureau Mcr Adv $3 95%
Node Healthspring Mcr Adv $3 95%
Node Hospice Non Par Agree $3 95%
Node Nhc Mcr Adv $3 95%
Node Va $3 95%
Node Wellcare Mcr Adv $3 95%
Tennessee Breast And Cervical Program $3 95%
Tricare $3 95%
Triwest $3 95%
Veterans Eval Services $3 95%
Wellcare $3 95%
Windsor Health Plan $3 95%
Node Us Dept Of Labor $4 126%
Cigna $5 158%
Novanet Work Comp Tn $5 158%
Tn Work Comp $5 158%
Ambetter / Centene $6 189%
Node Point Comfort Underwriters $7 221%
Self Pay $60 1893%
Multiplan Complementary $158 4984%
Beech Street Work Comp Tn $471 14858%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals