CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Medical Center of McKinney

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $846
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Medical Center of McKinney is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $846. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$846

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: $846 (26688%)
Insurance Median: $5 (158%)
Cash: $846 (26688% 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 - $615 95%
American Health Plan Of Texas, Inc. $3 95%
Amerigroup $3 95%
Blue Cross Blue Shield $3 - $376 95%
Care N Care $3 95%
Cenpatico $3 95%
Cigna $3 - $677 95%
Devoted Health $3 95%
Humana $3 - $550 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 - $59 95%
Texas Independent Health Plan $3 95%
Triwest Veterans $3 95%
United $3 - $158 95%
Wellcare $3 95%
Wellmed $3 95%
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 - $677 189%
Molina Healthcare $8 252%
Oscar $8 252%
Healthcare Highways $207 - $286 6530%
Evry Health $218 6877%
Unicare $220 - $846 6940%
City Of Mckinney $296 9338%
Fidelis Securecare $381 12019%
National Choicecare $423 13344%
Pc Texas Partners $465 14669%
Physicians Coop Of Tx $465 14669%
Rockport Health Group $465 14669%
Averde Health, Inc $491 15489%
Magellan Bh $508 16025%
Value Options Behavioral Health $508 16025%
Coastal Comp Health Networks $592 18675%
Mega Life $592 18675%
Multiplan Phcs $592 18675%
Lewisville Isd/Dls Consulting $635 20032%
Compsych Corporation $677 21356%
Healthsmart Preferred Care $677 21356%
Galaxy Health Network $719 22681%
Independent Medical Systems $846 26688%
National Healthcare Solutions $846 26688%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals