CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Methodist Hospital Atascosa

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $6
  • Cash Discount Price: $451
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Methodist Hospital Atascosa is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $451. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.89x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.
Cash / Self-Pay
$451

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

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: $451 (14227%)
Insurance Median: $6 (189%)
Cash: $451 (14227% of Medicare)
Ins. Median: $6 (189% 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 - $233 95%
American Health Plan Of Texas $3 95%
Blue Cross Blue Shield $3 - $138 95%
Clover Insurance $3 95%
Community First Health Plans $3 - $126 95%
Devoted Health $3 95%
Gonzaba Medical Group $3 95%
Humana $3 95%
Ilumed $3 95%
Integranet $3 95%
Molina $3 95%
Superior Health $3 - $23 95%
Texas Independent Health Plan $3 95%
Triwest $3 95%
Triwest Health Alliance $3 95%
Triwest Va Pccc $3 95%
United $3 - $210 95%
Wellcare $3 95%
Wellmed $3 95%
Focus Healthcare Management $4 126%
Cigna $5 - $7 158%
Focus Health Solutions $7 221%
Healthcare Highways $7 221%
Oscar $8 252%
Imperial Insurance $82 - $89 2587%
Valenz $152 - $163 4795%
Evry Health $160 - $172 5047%
Healthsmart Preferred Care $239 - $257 7539%
Multiplan $326 - $397 10284%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1905 Hwy 97 East, Jourdanton, TX 78026
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals