CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Tristar Ashland City Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $607
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Tristar Ashland City Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $607. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 313 North Main St, Ashland City, TN.
Cash / Self-Pay
$607

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: $607 (19148%)
Insurance Median: $4 (126%)
Cash: $607 (19148% 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%
Blue Cross Blue Shield $2 - $2,000 63%
Aetna $3 - $303 95%
Ambetter / Centene $3 95%
American Health Advantage $3 95%
Atrio Golden Times $3 95%
Bright Health $3 - $4 95%
Devoted Health Plan $3 95%
Evergreen Hmo $3 95%
Healthspring $3 95%
Humana $3 - $152 95%
Sarah Cannon Research $3 95%
United $3 - $273 95%
Wellcare $3 95%
Zing $3 95%
Signature Advantage $4 126%
Corvel Corporation $5 158%
Novanet $5 158%
Prime Health $5 158%
Cigna $6 - $189 189%
Oscar $10 315%
Kentucky Labor Cabinet $112 3533%
Apex Health $115 3628%
Nhc Advantage, Inc. $115 3628%
Pruitt Health (Allyalign) $115 3628%
Amerigroup $188 5931%
Bgfh Singlesource $303 - $516 9558%
Multiplan $334 10536%
Southern Health Partners $364 11483%
Employers Health Network $425 13407%
Odom'S Tn Pride Sausage $455 14353%
Beech Street $558 17603%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 313 North Main St, Ashland City, TN 37015
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Rural Emergency Hospital