CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Tristar Hendersonville Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $627
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Tristar Hendersonville Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $627. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 355 New Shackle Island Rd, Hendersonville, TN.
Cash / Self-Pay
$627

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: $627 (19779%)
Insurance Median: $3 (95%)
Cash: $627 (19779% 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
Wellpoint $1 32%
Aetna $3 - $314 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 - $157 95%
Sarah Cannon Research $3 95%
Signature Advantage $3 95%
United $3 - $282 95%
Wellcare $3 95%
Zing $3 95%
Corvel Corporation $5 158%
Novanet $5 158%
Prime Health $5 158%
Cigna $6 - $211 189%
Oscar $10 315%
Kentucky Labor Cabinet $115 3628%
Apex Health $119 3754%
Nhc Advantage, Inc. $119 3754%
Pruitt Health (Allyalign) $119 3754%
Bgfh Singlesource $314 - $533 9905%
Employers Health Network $439 13849%
Odom'S Tn Pride Sausage $470 14826%
Multiplan $514 16215%
Beech Street $577 18202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 355 New Shackle Island Rd, Hendersonville, TN 37075
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals