CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Carrollton Regional Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $65
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Carrollton Regional Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 4343 North Josey Lane, Carrollton, TX.
Cash / Self-Pay
$65

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: $65 (2050%)
Insurance Median: $3 (95%)
Cash: $65 (2050% 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 - $5 95%
Amerigroup $3 95%
Blue Cross Blue Shield $3 - $13 95%
Cigna $3 95%
Humana $3 95%
Medicaid / KanCare $3 95%
Medicare (plans) $3 95%
Molina $3 95%
Molina_Star_Plus $3 95%
Scott_And_White $3 95%
Superior $3 - $5 95%
Superior_Chip $3 95%
Uhc_Chip $3 95%
Uhc_Star $3 95%
Uhc_Star_Plus $3 95%
UnitedHealthcare $3 95%
Molina_Health_Insurance_Marketplace $4 126%
Scott_And_White_Epo $5 158%
Scott_And_White_Hmo $5 158%
Scott_And_White_Ppo $5 158%
Scott_And_White_Swhp $5 158%
Phcs $81 2555%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4343 North Josey Lane, Carrollton, TX 75010
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals