CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: HCA Houston Healthcare Southeast

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $714
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at HCA Houston Healthcare Southeast is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $714. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$714

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: $714 (22524%)
Insurance Median: $5 (158%)
Cash: $714 (22524% 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
Aetna $3 - $21 95%
American Health Plan $3 95%
Amerigroup $3 95%
Blue Cross Blue Shield $3 - $250 95%
Chc Harris Health $3 95%
Christus (Usfhp) $3 95%
Cigna $3 - $571 95%
Community Health Choice Mcd $3 95%
Devoted Health $3 95%
Humana $3 - $42 95%
Integranet Amerigroup Ipa $3 95%
Kelsey Seybold $3 95%
Molina $3 95%
Molina Healthcare $3 - $7 95%
Oscar $3 - $9 95%
Procare Advantage $3 95%
Provider Partners Health Plan Of Texas $3 95%
Renaissance Ipa Radiology $3 95%
Shared Health $3 95%
Superior Health Plan $3 - $43 95%
Texas Childrens Health Plans $3 - $126 95%
Texas Health Network $3 95%
Triwest Healthcare Alliance $3 95%
United $3 - $321 95%
Van Lang Ipa $3 95%
Wellcare $3 95%
Wellmed $3 95%
Kindred Hospital $4 126%
Universal Healthcare Group $4 126%
Verda Health Plan $4 126%
Community Health Choice $5 158%
Superior $5 158%
Corvel Corporation $6 189%
Omni Healthcare $7 221%
Healthcare Highways $10 315%
Texas Workforce Commission $171 5394%
Evry Health $195 6151%
Imagine Health $250 7886%
Healthsmart Preferred Care $307 - $607 9685%
Averde Health $321 10126%
Fidelis Securecare Of Tx $321 10126%
Multiplan $357 - $642 11262%
Coventry National First Health $380 11987%
Physicians Cooperative Of Texas $393 12397%
Rockport Workers Comp $393 12397%
Beech Street $428 - $571 13502%
Independent Medical System $428 13502%
National Healthcare Solutions $428 13502%
Prime Health Services $428 13502%
Southwest Medical $428 13502%
Coastal Comp $464 14637%
Fiesta Mart, Inc $535 16877%
Physicians, Inc $607 19148%
Affiliated Ppo $642 20252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals