CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: HCA Houston Healthcare West

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $620
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at HCA Houston Healthcare West is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $620. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$620

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: $620 (19558%)
Insurance Median: $4 (126%)
Cash: $620 (19558% 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
Aetna $3 - $21 95%
American Health Plan $3 95%
Amerigroup $3 95%
Blue Cross Blue Shield $3 - $217 95%
Chc Harris Health $3 95%
Christus (Usfhp) $3 95%
Cigna $3 - $496 95%
Community Health Choice Mcd $3 95%
Devoted Health $3 95%
Humana $3 - $42 95%
Integranet Amerigroup Ipa $3 95%
Kelsey Seybold $3 95%
Molina $3 95%
Molina Healthcare $3 - $7 95%
Oscar $3 - $9 95%
Procare Advantage $3 95%
Provider Partners Health Plan Of Texas $3 95%
Renaissance Ipa Radiology $3 95%
Shared Health $3 95%
Superior Health Plan $3 - $37 95%
Texas Childrens Health Plans $3 - $103 95%
Texas Health Network $3 95%
Triwest Health Alliance $3 95%
Triwest Healthcare Alliance $3 95%
United $3 - $279 95%
Van Lang Ipa $3 95%
Wellcare $3 95%
Wellmed $3 95%
Universal Healthcare Group $4 126%
Verda Health Plan $4 126%
Community Health Choice $5 158%
Superior $5 158%
Corvel Corporation $6 189%
Omni Healthcare $7 221%
Healthcare Highways $10 315%
Texas Workforce Commission $149 4700%
Evry Health $169 5331%
Imagine Health $217 6845%
Healthsmart Preferred Care $267 - $527 8423%
Averde Health $279 8801%
Fidelis Securecare Of Tx $279 8801%
Coventry National First Health $330 10410%
Physicians Cooperative Of Texas $341 10757%
Rockport Workers Comp $341 10757%
Independent Medical System $372 11735%
National Healthcare Solutions $372 11735%
Southwest Medical $372 11735%
Triumph $372 11735%
Coastal Comp $403 12713%
Multiplan $465 - $527 14669%
Physicians, Inc $527 16625%
Affiliated Ppo $558 17603%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals