CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: De Tar Hospital Navarro

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $243
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at De Tar Hospital Navarro is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$243

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: $243 (7666%)
Insurance Median: $5 (158%)
Cash: $243 (7666% 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 - $543 95%
American Health Mcr Adv $3 95%
Blue Cross Blue Shield $3 - $199 95%
Department Of Veterans Affairs $3 95%
Humana $3 95%
Medicaid / KanCare $3 - $9 95%
Medicare (plans) $3 95%
Node Amerigroup Mcr Adv $3 95%
Node Hospice Non Par Agree $3 95%
Node Procare Mcr Adv $3 95%
Node Triwest $3 95%
Node Va $3 95%
Provider Partners Health Plan $3 95%
Scott & White $3 95%
Superior $3 - $6 95%
Tricare $3 95%
UnitedHealthcare $3 - $271 95%
Veterans Eval Services $3 95%
Industrial Rehab $4 126%
Node Us Dept Of Labor $4 126%
Amerigroup $6 189%
Node Brookshire Brothers $6 189%
Node Brookshire Brothers Work Comp Tx $6 189%
Work Comp $6 189%
Elap $7 221%
Dars $219 6909%
Tx Workforce Commission $219 6909%
Cigna $227 - $409 7161%
Sane $250 7886%
Healthsmart $524 - $666 16530%
Multiplan $619 - $762 19527%
First Health $647 20410%
Medcorp Southwest Inc $666 21009%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals