CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $84
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 26.50x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at University of Texas M. D. Anderson Cancer Center is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 26.50x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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%)
Insurance Median: $84 (2650%)
Ins. Median: $84 (2650% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2650% of the Medicare baseline (a markup of 2550%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Texaschildrens $3 - $49 95%
Medicare (plans) $49 1546%
Vacare $49 1546%
Memorialhermannhealth $73 - $84 2303%
Blue Cross Blue Shield $78 - $81 2461%
Cigna $78 - $84 2461%
UnitedHealthcare $78 - $84 2461%
Aetna $81 - $84 2555%
Humana $83 - $86 2618%
Ontarioministriesofhealth $83 2618%
Beijingst.Lucia $84 2650%
Embassyofqatar $84 2650%
Emergingtherapysolutions $84 - $90 2650%
Interlink $84 - $95 2650%
Tricare $84 2650%
Emergingtherapysolutions_Cancercare $90 2839%
Interlink_Cancercare $90 2839%
Saudiarmedforces $90 2839%
Uae_Medical $90 2839%
Uaepoliceattache $90 2839%
Healthsmart $95 2997%
Multiplan $95 - $96 2997%
Phcs $95 - $96 2997%
Vantage $95 2997%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL