CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Preston Memorial Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $67
Cash Discount Price: $42
vs. Medicare Baseline: 21.14x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Preston Memorial Hospital is $67. 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 21.14x the Medicare baseline. Located in 150 Memorial Drive, Kingwood, WV.

Cash / Self-Pay

$42

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $67 (2114%)

Cash: $42 (1325% of Medicare)

Ins. Median: $67 (2114% 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 2114% of the Medicare baseline (a markup of 2014%). 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
Advantra	$50	1577%
Aetna	$50 - $75	1577%
Humana	$50	1577%
Medicare (plans)	$50 - $67	1577%
Uhc_Va	$50	1577%
Upmc	$52	1640%
Medicaid / KanCare	$54 - $57	1703%
Blue_Cross_Highmark_Aca	$61	1924%
Blue_Cross_Highmark_Pos	$67	2114%
Blue_Cross_Highmark_Ppo	$67	2114%
Blue_Cross_Highmark_Traditional	$74	2334%
UnitedHealthcare	$75	2366%
Cigna	$77	2429%
Geha	$79	2492%
4_Most	$81	2555%
Health	$81	2555%
Unicare	$103	3249%

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 Preston 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.