CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Jefferson Healthcare

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $18
Cash Discount Price: $36
vs. Medicare Baseline: 5.68x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Jefferson Healthcare is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 5.68x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$36

Average discount available for prompt cash payment at this facility.

Insurance Median

$18

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: $36 (1136%)

Insurance Median: $18 (568%)

Cash: $36 (1136% of Medicare)

Ins. Median: $18 (568% 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 568% of the Medicare baseline (a markup of 468%). 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
Amerigroup Mcaid-All Plans	$13 - $16	410%
Chpw Mcaid	$13 - $15	410%
Molina Mcaid	$13 - $15	410%
Aetna	$14 - $43	442%
Coord Care Mcaid Ip/Op Only	$14 - $16	442%
Molina Mcr Adv	$14 - $17	442%
Tricare	$14 - $17	442%
Medicare (plans)	$15 - $17	473%
Chpw Mcr Adv	$16 - $18	505%
Molina Marketplace-All Other Plans	$18 - $21	568%
UnitedHealthcare	$23 - $27	726%
Regence-All Other Plans	$31 - $36	978%
Chpw Commercial-All Other Plans	$35 - $41	1104%
Premera-All Plans	$35 - $41	1104%
Cigna	$37 - $43	1167%
Coord Care Cascade Ip/Op Only	$37 - $43	1167%
Coord Care Comm/Exchge-All Other Plans	$37 - $43	1167%

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 $36.
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 Jefferson Healthcare 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.