CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: The Medical Center of Southeast Texas

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $350
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at The Medical Center of Southeast Texas is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $350. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$350

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $350 (11041%)
Insurance Median: $4 (126%)
Cash: $350 (11041% of Medicare)
Ins. Median: $4 (126% 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
UnitedHealthcare $2 - $4 63%
Amerigroup $3 - $28 95%
Beacon Health $3 95%
Blue Cross Blue Shield $3 - $144 95%
Caresact $3 95%
Cccn Pro Advantage $3 95%
Cigna $3 - $245 95%
Community Health Choice $3 - $4 95%
Community Health Choice Uhrip $3 95%
Employer Direct Healthcare $3 - $4 95%
Harbor Hospice $3 95%
Healthspring $3 95%
Hospice $3 95%
Humana $3 - $8 95%
League Medical Concepts $3 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
Medsolutions $3 95%
Molina Healthcare $3 - $4 95%
Provider Partners Health Plan $3 95%
Rice Land Hospice $3 95%
Selectcare $3 95%
Superior Healthplan $3 95%
Texas Childrens Health Plan $3 95%
Texas Medical Management Partners $3 - $4 95%
Tihp (Texas Independence Health Plan) $3 95%
Tricare $3 95%
Triwest $3 95%
Wellcare Of Texas $3 95%
Wellpath $3 95%
Corporate Remedies $5 158%
Elap Services $6 189%
Texas Workers Compensation $6 189%
Self Pay Emergent $52 1640%
Dept Of Assistive And Rehabilitative Services $175 5521%
Aetna $203 - $231 6404%
Iasis Employees $210 6625%
Magellan Behavioral Health $210 6625%
First Health $245 7729%
Galaxy Health Network $245 7729%
Private Healthcare Systems $245 7729%
Texas Municipal League $245 7729%
Healthsmart $262 8265%
Multiplan $280 8833%
Commercial Non-Contracted $350 11041%
Heart To Heart Hospice $350 11041%
Lifesynch $350 11041%
Mhnet $350 11041%
Self Pay - Mcd Pending 100 Percent $350 11041%
Single Case Agreement $350 11041%
United Behavioral Health $350 11041%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals