CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Medical City North Hills

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $563
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Medical City North Hills is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $563. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$563

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $563 (17760%)
Insurance Median: $5 (158%)
Cash: $563 (17760% of Medicare)
Ins. Median: $5 (158% 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
Cook Childrens Health Plan $2 63%
Aetna $3 - $409 95%
American Health Plan Of Texas, Inc. $3 95%
Amerigroup $3 95%
Blue Cross Blue Shield $3 - $250 95%
Care N Care $3 95%
Cenpatico $3 95%
Cigna $3 - $450 95%
Devoted Health $3 95%
Humana $3 - $35 95%
Imperial Insurance Company $3 95%
Integranet $3 95%
Molina $3 95%
Mutual Of Omaha $3 95%
Parkland Community Health Plan $3 95%
Procare Advantge $3 95%
Provider Partners Health Plan $3 95%
Superior Health Plan $3 - $39 95%
Texas Independent Health Plan $3 95%
Triwest Veterans $3 95%
United $3 - $121 95%
Wellcare $3 95%
Wellmed $3 95%
Triwest Health Alliance $4 126%
Universal Healthcare Group $4 126%
Verda Health Plan $4 126%
Bravo Health $5 158%
Corvel Corporation $6 189%
Superior $6 - $7 189%
Usa Managed Care $6 - $450 189%
Molina Healthcare $8 252%
Oscar $8 252%
Unicare $118 - $563 3722%
Healthcare Highways $138 - $190 4353%
Evry Health $145 4574%
City Of Mckinney $253 7981%
Fidelis Securecare $253 7981%
National Choicecare $281 8864%
Pc Texas Partners $309 9748%
Physicians Coop Of Tx $309 9748%
Rockport Health Group $309 9748%
Averde Health, Inc $326 10284%
Magellan Behavior Health $338 10662%
Coastal Comp Health Networks $394 12429%
Mega Life $394 12429%
Multiplan Phcs $394 12429%
Healthsmart Preferred Care $422 13312%
Lewisville Isd/Dls Consulting $422 13312%
Usc Health Services $450 14196%
Galaxy Health Network $478 15079%
Independent Medical Systems $563 17760%
National Healthcare Solutions $563 17760%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals