CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Johnson City Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $6
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Johnson City Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 400 N State of Franklin Rd, Johnson City, TN.
Cash / Self-Pay
$6

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: $6 (189%)
Insurance Median: $3 (95%)
Cash: $6 (189% 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 $2 - $3 63%
Aetna $3 - $24 95%
Blue Cross Blue Shield $3 - $18 95%
Cigna $3 - $12 95%
Devoted Health Plan $3 95%
Humana $3 95%
Managed Medicaire $3 95%
Medicare (plans) $3 95%
Molina Healthcare $3 95%
Mountain Empire Pace $3 95%
Nhc Advantage $3 95%
Optima Health $3 95%
Sentara Health $3 - $13 95%
United Mine Workers Of America $3 95%
UnitedHealthcare $3 - $4 95%
Wellcare $3 - $38 95%
Ambetter / Centene $7 221%
Medcost $13 410%
First Health Coventry $28 883%
Seven Corners, Inc. $38 1199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N State of Franklin Rd, Johnson City, TN 37604
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals