CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Methodist Southlake Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $117
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Methodist Southlake Medical Center is $5. 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 1.58x the Medicare baseline. Located in 421 E State Highway 114, Southlake, TX.
Cash / Self-Pay
$117

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: $117 (3691%)
Insurance Median: $5 (158%)
Cash: $117 (3691% 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
Bind Benefits Inc [1004] $2 63%
Definity Health [3006] $2 63%
Freedom Life Insurance Company [2029] $2 63%
Geha Federal [3066] $2 63%
Tml Intergovernmental Employee Benefits [3050] $2 63%
UnitedHealthcare $2 - $3 63%
Aetna $3 - $131 95%
American Health Advantage Of Texas [7099] $3 95%
Blue Cross Blue Shield $3 - $10 95%
Cigna $3 - $6 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%
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%
Kempton Group Administrators, Tower Extrusions [3061] $5 158%
Molina [3017] $5 158%
Wellpoint Marketplace Exchange [3071] $5 158%
Department Of Labor [8004] $6 189%
Evry Health [1013] $6 189%
Generic Workers Comp Tx Non Par [9010] $6 189%
Generic Workers Comp Tx Par [8002] $6 189%
Generic Workers Comp Tx Par [9011] $6 189%
Imperial Insurance Companies [3073] $6 189%
Sana Benefits [3069] $6 189%
Tristar Risk Management [8006] $6 189%
Velocity [3070] $6 189%
Web Tpa [3049] $6 - $14 189%
Health Plans Inc [5017] $8 252%
Medical Cost Containment Professionals [3059] $8 252%
Dart Member Care [3039] $9 284%
Healthscope Benefits [2052] $9 284%
Healthscope Benefits [3063] $9 284%
Medicaid / KanCare $9 - $11 284%
Scott & White Health Plan Trs [3062] $131 4132%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 E State Highway 114, Southlake, TX 76092
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals