CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: HCA Houston Healthcare Pearland

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $3
  • Cash Discount Price: $519
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at HCA Houston Healthcare Pearland is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $519. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 0.95x the Medicare baseline. Located in 11100 Shadow Creek Parkway, Pearland, TX.
Cash / Self-Pay
$519

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: $519 (16372%)
Insurance Median: $3 (95%)
Cash: $519 (16372% 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 - $21 95%
American Health Plan $3 95%
Blue Cross Blue Shield $3 - $182 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 - $31 95%
Texas Childrens Health Plans $3 - $86 95%
Triwest Health Alliance $3 95%
Triwest Healthcare Alliance $3 95%
United $3 - $233 95%
Van Lang Ipa $3 95%
Wellcare $3 95%
Wellmed $3 95%
Verda Health Plan $4 126%
Community Health Choice $5 158%
Superior $5 158%
Healthcare Highways $10 315%
Evry Health $142 4479%
Coventry National First Health $277 8738%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11100 Shadow Creek Parkway, Pearland, TX 77584
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals