CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Medical City Lewisville

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $782
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Medical City Lewisville is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $782. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$782

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: $782 (24669%)
Insurance Median: $5 (158%)
Cash: $782 (24669% 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 - $569 95%
American Health Plan Of Texas, Inc. $3 95%
Amerigroup $3 95%
Blue Cross Blue Shield $3 - $347 95%
Care N Care $3 95%
Cigna $3 - $109 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 - $55 95%
Texas Health Network $3 95%
Texas Independent Health Plan $3 95%
Triwest Health Alliance $3 95%
United $3 - $156 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 - $626 189%
Molina Healthcare $8 252%
Oscar $8 252%
Unicare $188 - $782 5931%
Healthcare Highways $192 - $264 6057%
Evry Health $202 6372%
City Of Mckinney $352 11104%
Fidelis Securecare $352 11104%
National Choicecare $391 12334%
Pc Texas Partners $430 13565%
Physicians Coop Of Tx $430 13565%
Rockport Health Group $430 13565%
Averde Health, Inc $454 14322%
Usc Health Services $469 14795%
Coastal Comp Health Networks $547 17256%
Jostens $547 17256%
Mega Life $547 17256%
Multiplan Phcs $547 17256%
Healthsmart Preferred Care $587 18517%
Lewisville Isd/Dls Consulting $587 18517%
Galaxy Health Network $665 20978%
Independent Medical Systems $782 24669%
National Healthcare Solutions $782 24669%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals