CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Medical City Dallas Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $702
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Medical City Dallas Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $702. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 7777 Forest Lane, Dallas, TX.
Cash / Self-Pay
$702

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: $702 (22145%)
Insurance Median: $5 (158%)
Cash: $702 (22145% 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
Cook Childrens Health Plan $2 63%
Aetna $3 - $413 95%
American Health Plan Of Texas, Inc. $3 95%
Amerigroup $3 95%
Blue Cross Blue Shield $3 - $312 95%
Care N Care $3 95%
Cigna $3 - $386 95%
Devoted Health $3 95%
Humana $3 - $35 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 - $49 95%
Texas Health Network $3 95%
Texas Independent Health Plan $3 95%
Triwest Veterans $3 95%
United $3 - $151 95%
Wellcare $3 95%
Wellmed $3 95%
Triwest Health Alliance $4 126%
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 - $562 189%
Molina Healthcare $8 252%
Oscar $8 252%
UnitedHealthcare $77 - $625 2429%
Religious Order Of Jehovah Witness $140 4416%
Unicare $168 - $702 5300%
Healthcare Highways $172 - $237 5426%
Healthcare Highways Ntx $179 - $246 5647%
Evry Health $181 5710%
Prominence Health Plan $281 8864%
City Of Mckinney $316 9968%
Fidelis Securecare $316 9968%
Emerging Therapy Solutions $344 - $491 10852%
National Choicecare $351 11073%
Pc Texas Partners $386 12177%
Physicians Coop Of Tx $386 12177%
Rockport Health Group $386 12177%
Texas Instruments $393 12397%
Averde Health, Inc $407 12839%
Coastal Comp Health Networks $491 15489%
Mega Life $491 15489%
Multiplan Phcs $491 15489%
Healthsmart Preferred Care $498 15710%
Lewisville Isd/Dls Consulting $526 16593%
Usc Health Services $562 17729%
Galaxy Health Network $597 18833%
Independent Medical Systems $702 22145%
National Healthcare Solutions $702 22145%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7777 Forest Lane, Dallas, TX 75230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals