CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Arbor Health Morton Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $42
Cash Discount Price: $56
vs. Medicare Baseline: 13.25x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Arbor Health Morton Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 13.25x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$56

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $56 (1767%)

Insurance Median: $42 (1325%)

Cash: $56 (1767% of Medicare)

Ins. Median: $42 (1325% 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 1325% of the Medicare baseline (a markup of 1225%). 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
Comm Health Healthy Options	$39	1230%
Kaiser Mcaid	$39	1230%
UnitedHealthcare	$39 - $72	1230%
Aetna	$41 - $79	1293%
Amerigroup Mcr Adv	$41	1293%
Amerigroup-All Other Plans	$41	1293%
Comm Health Mcr Adv	$41	1293%
Healthnet Mcr Adv - All Plans	$41	1293%
Humana	$41	1293%
Mcr Railroad Mcr Adv - All Plans	$41	1293%
Medicare (plans)	$41	1293%
Premera Hmo Mcr Adv	$41	1293%
Rural Health Mcare - All Plans	$41	1293%
Regence Blue Shield Mcr Adv	$42	1325%
Molina Mcr Adv	$43	1356%
Wellcare Mcr Adv - All Plans	$43	1356%
Molina Marketplace-All Other Plans	$53	1672%
Regence Blue Shield Ump-All Other Plans	$63	1987%
Kaiser Comm-All Other Plans	$71	2240%
Molina Mcaid	$75	2366%
Comm Health Basic Sub - All Other Plans	$76	2397%
Comm Health Pebb	$76	2397%
Premera First-All Other Plans	$81	2555%
Cigna	$84	2650%
First Choice-All Plans	$84	2650%

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 $56.
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 Arbor Health Morton 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.