CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Methodist McKinney Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $3
Cash Discount Price: $117
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Methodist McKinney Hospital is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 8000 W Eldorado Pkwy Bldg C Suite C, McKinney, TX.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

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: $117 (3691%)

Insurance Median: $3 (95%)

Cash: $117 (3691% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$2 - $3	63%
Aetna	$3 - $12	95%
American Health Advantage Of Texas [7099]	$3	95%
Cigna	$3	95%
Globalhealth [1003]	$3	95%
Humana	$3	95%
Medicare (plans)	$3	95%
Procare Advantage [7018]	$3	95%
Provider Partners Health Plan [7025]	$3	95%
Southwestern Health Resources Swhr [7015]	$3	95%
UnitedHealthcare	$3	95%
Ust Health Proof [1005]	$3	95%
Wellcare [7016]	$3	95%
Alternative Service Concepts [8005]	$4	126%
Bright Healthcare [2222]	$4	126%
Oscar Insurance Company [2057]	$4	126%
90 Degree Benefit [3057]	$5	158%
Allied National [2031]	$5	158%
Ambetter / Centene	$5	158%
Entrust/90 Degree [2058]	$5	158%
Friday Health Plan [2061]	$5	158%
Molina [3017]	$5	158%
Wellpoint Marketplace Exchange [3071]	$5	158%
Evry Health [1013]	$6	189%
Imperial Insurance Companies [3073]	$6	189%
Sana Benefits [3069]	$6	189%
Velocity [3070]	$6	189%
Web Tpa [3049]	$10 - $12	315%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $117.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 81001.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Methodist McKinney Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 81001.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.