CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Tristar Centennial Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $650
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Tristar Centennial Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $650. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.
Cash / Self-Pay
$650

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: $650 (20505%)
Insurance Median: $4 (126%)
Cash: $650 (20505% 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 32%
Aetna $3 - $325 95%
Ambetter / Centene $3 95%
American Health Advantage $3 95%
Amerigroup $3 95%
Atrio Golden Times $3 95%
Blue Cross Blue Shield $3 - $6 95%
Bright Health $3 - $4 95%
Devoted Health Plan $3 95%
Evergreen Hmo $3 95%
Healthspring $3 95%
Humana $3 - $422 95%
Odyssey Healthcare $3 95%
Sarah Cannon Research $3 95%
Signature Advantage $3 95%
United $3 - $292 95%
United Behavioral Health $3 95%
Wellcare $3 95%
Zing $3 95%
Corvel Corporation $5 158%
Novanet $5 158%
Prime Health $5 - $572 158%
Cigna $6 - $520 189%
Oscar $10 315%
Kentucky Labor Cabinet $120 3785%
Apex Health $123 3880%
Nhc Advantage, Inc. $123 3880%
Pruitt Health (Allyalign) $123 3880%
Tennessee Donor Services $176 5552%
Centurion $268 8454%
Emerging Therapy Solutions $318 - $435 10032%
Bgfh Singlesource $325 - $552 10252%
Value Option $325 10252%
Multiplan $357 11262%
Southern Health Partners $390 12303%
Employers Health Network $455 14353%
Mhnet $487 15363%
Odom'S Tn Pride Sausage $487 15363%
Compsych $520 16404%
Beech Street $572 18044%
UnitedHealthcare $578 - $650 18233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2300 Patterson Street, Nashville, TN 37203
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals