CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Lincoln Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $37
Cash Discount Price: $42
vs. Medicare Baseline: 11.67x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Lincoln Hospital is $37. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 11.67x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$42

Average discount available for prompt cash payment at this facility.

Insurance Median

$37

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: $42 (1325%)

Insurance Median: $37 (1167%)

Cash: $42 (1325% of Medicare)

Ins. Median: $37 (1167% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1167% of the Medicare baseline (a markup of 1067%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Labor & Industries - All Plans	$4	126%
Ambetter / Centene	$22	694%
Molina Hlthy Options	$22	694%
UnitedHealthcare	$22 - $41	694%
Amerigroup Mcaid - All Plans	$23	726%
Aetna	$26 - $44	820%
Indian Hlth Services - All Plans	$26	820%
Tricare	$26	820%
Va Ccn - All Plans	$26	820%
Cigna	$36	1136%
Focus Healthcare Mgmt - All Plans	$37	1167%
Molina Exchange-All Other Plans	$37	1167%
Blue Cross Blue Shield	$41	1293%
Uniform Medical Plan-All Plans	$41	1293%
First Health Coventry-All Plans	$42	1325%
Health Management Network-All Plans	$42	1325%
Three Rivers-All Plans	$42	1325%
Asuris Nw Health-All Plans	$43	1356%
Multiplan-All Plans	$44	1388%
Physician Hosp Comm Org-All Plans	$44	1388%
First Choice Health- All Plans	$45	1420%

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 $42.
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 Lincoln 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.