CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Womans Hospital of Texas,The

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $423
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Womans Hospital of Texas,The is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $423. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$423

Average discount available for prompt cash payment at this facility.

Insurance Median
$3

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: $423 (13344%)
Insurance Median: $3 (95%)
Cash: $423 (13344% of Medicare)
Ins. Median: $3 (95% 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 - $17 95%
American Health Plan $3 95%
Amerigroup $3 95%
Blue Cross Blue Shield $3 - $148 95%
Christus (Usfhp) $3 95%
Cigna $3 - $16 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%
Shared Health $3 95%
Superior Health Plan $3 - $25 95%
Texas Childrens Health Plans $3 - $110 95%
Texas Health Network $3 95%
Triwest Health Alliance $3 95%
Triwest Healthcare Alliance $3 95%
United $3 - $190 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%
Evry Health $116 3659%
Imagine Health $148 4669%
Kelsey Care (Boon-Chapman) $148 4669%
Healthsmart Preferred Care $182 - $360 5741%
Averde Health $190 5994%
Fidelis Securecare Of Tx $190 5994%
Coventry National First Health $226 7129%
Physicians Cooperative Of Texas $233 7350%
Rockport Workers Comp $233 7350%
Independent Medical System $254 8013%
National Healthcare Solutions $254 8013%
Southwest Medical $254 8013%
Coastal Comp $275 8675%
Affiliated Ppo $317 10000%
Fiesta Mart, Inc $317 10000%
Multiplan $317 - $360 10000%
Physicians, Inc $360 11356%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals