CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $40
Cash Discount Price: $40
vs. Medicare Baseline: 12.62x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Marshfield Medical Center - Rice Lake is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 12.62x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.

Cash / Self-Pay

$40

Average discount available for prompt cash payment at this facility.

Insurance Median

$40

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: $40 (1262%)

Insurance Median: $40 (1262%)

Cash: $40 (1262% of Medicare)

Ins. Median: $40 (1262% 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 1262% of the Medicare baseline (a markup of 1162%). 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
Blue Cross Blue Shield	$3 - $20	95%
Group Health Cooperative Of Eau Claire	$3 - $40	95%
Point Comfort Underwriters	$3	95%
Security Health Plan (Shp)	$3 - $22	95%
Veteran'S Administration (Va Ccn)	$3	95%
Managed Health Services	$4	126%
UnitedHealthcare	$11 - $35	347%
Family Health Center (Fhc)	$21	662%
Amish/Mennonite	$23	726%
Sanford Health Plan	$23	726%
The Alliance	$23 - $170	726%
Molina Healthcare Of Wi	$36	1136%
Besse Forest Products	$40	1262%
Cigna	$40	1262%
Corvel	$40	1262%
Coventry	$40	1262%
First Health	$40	1262%
Health Partners	$40	1262%
Health Smart	$40	1262%
Healtheos By Multiplan Inc.	$40	1262%
Medica Of Wi	$40 - $41	1262%
Rice Lake School District	$40	1262%
Trilogy	$40	1262%
Rising Medical Work Comp	$41	1293%
Three Rivers Provider Network (Trpn)	$41	1293%
Wps Health Insurance	$41	1293%

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 $40.
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 Marshfield Medical Center - Rice Lake 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.