CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Knapp Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $3
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Knapp Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$3

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: $3 (95%)
Insurance Median: $3 (95%)
Cash: $3 (95% 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
Corvel $2 63%
Zelis Healthcare Fka Stratose $2 63%
Americas Choice Provider Network (Acpn) $3 95%
Blue Cross Blue Shield $3 - $11 95%
Cigna $3 - $5 95%
Coventry (First Health) $3 95%
Division Of Immigration Health $3 95%
Imperial Insurance Companies $3 95%
Medicare (plans) $3 95%
Molina $3 - $6 95%
Multiplan $3 95%
Prime Health Services $3 95%
Provider Network Of America $3 95%
Provider Partners Health Plan $3 95%
Provider Select $3 95%
Superior Health Plan $3 - $5 95%
Texas Bluebonnet Health Plan $3 - $5 95%
Three Rivers $3 95%
Tricare $3 95%
UnitedHealthcare $3 - $5 95%
Veterans Evaluation Services $3 95%
Wellmed Aarp Ma Fka Physicians Health Choice $3 95%
Worker Comp $3 95%
Employer Direct Healthcare $4 126%
Frontier Health (Fka Asserta Health) $4 126%
Magic Valley Electric Cooperative $4 126%
Texas Oncology Pa Op $4 126%
Corporate Remedies (Wc) $5 158%
Medicaid / KanCare $5 158%
Naphcare $5 158%
Baker Benefits Administrators $6 189%
Occunet $6 189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals