CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Black River Memorial Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $73
Cash Discount Price: $71
vs. Medicare Baseline: 23.03x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Black River Memorial Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 23.03x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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: $71 (2240%)

Insurance Median: $73 (2303%)

Cash: $71 (2240% of Medicare)

Ins. Median: $73 (2303% 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 2303% of the Medicare baseline (a markup of 2203%). 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	$2 - $40	63%
Group Health Cooperative Of Eau Claire	$3 - $77	95%
My Choice Wisconsin, Inc.	$3 - $40	95%
Quartz Health Solutions, Inc	$3 - $72	95%
UnitedHealthcare	$3 - $74	95%
Humana	$40 - $73	1262%
Security Health Plan	$40 - $74	1262%
Corvel	$48	1514%
The Alliance	$67 - $76	2114%
Triology Health Solutions	$71 - $75	2240%
Medica	$74	2334%
Association Benefits Solution	$75	2366%
Family Health Center Of Marshfield	$75	2366%
First Health Group Corporation	$75	2366%
Provider Network Of America	$75	2366%
Chorus	$77	2429%
Cigna	$77	2429%
Cofinity	$77	2429%
Coventry Health Care	$77	2429%
Custom Benefit Administrators	$77	2429%
Healthpartners, Inc.	$77	2429%
Multiplan	$77 - $78	2429%
Wisconsin Physicians Service Insurance Corp	$77	2429%

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 $71.
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 Black River Memorial 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.