Urinalysis (automated, with microscopy)
Facility: Mount Sinai Rehabilitation Hospital Inc
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $13
- Cash Discount Price: $28
- vs. Medicare Baseline: 4.10x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 410% of the Medicare baseline (a markup of 310%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cca Senior Care Options | $3 | 95% |
| Cigna | $3 - $6 | 95% |
| Aetna | $3 - $4 | 95% |
| UnitedHealthcare | $3 | 95% |
| Medicare (plans) | $3 | 95% |
| Blue Cross Blue Shield | $3 - $13 | 95% |
| Harvard Pilgrim Healthcare | $3 | 95% |
| Geha | $3 | 95% |
| Webtpa | $4 | 126% |
| Allied Benefit Systems | $4 | 126% |
| Meritain | $4 | 126% |
| Luminare Health | $4 | 126% |
| Nippon Life Ins | $4 | 126% |
| 1199 National Benefit Fund | $4 | 126% |
| Hap | $4 | 126% |
| Gravie Admin Services | $4 | 126% |
| Health Partners | $6 | 189% |
| Allegiance | $6 | 189% |
| Magnacare | $6 | 189% |
| Claimdoc | $7 | 221% |
| Diversified Administrators | $7 | 221% |
| Innovative Health Plan II | $7 | 221% |
| Blue Benefit Administrators of Massachusetts | $13 | 410% |
| Bcn Domestic | $13 | 410% |
| Unicare | $13 | 410% |
| Blue Shield - Ca | $13 | 410% |
| Pre-Employment | $13 | 410% |
| Blue Distinction Transplant | $13 | 410% |
| Blue Shield - Ny Highmark Northeastern | $13 | 410% |
| Blue Shield - Ny Highmark Western | $13 | 410% |
| Blue Care Network | $13 | 410% |
| Health Choices | $13 | 410% |
| Wc Domestic | $13 | 410% |
| Blue Shield - Wa (Regence) | $13 | 410% |
| Kaiser Domestic | $13 | 410% |
| Blue Shield - PA (Highmark) | $13 | 410% |
| Blue Shield - Id (Regence) | $13 | 410% |
| Connecticut Dept of Correction | $22 | 694% |
| Health New England | $27 | 852% |
| Asrm - Reliance Standard Life Insurance | $35 | 1104% |
| Paramount HMO | $35 | 1104% |
| Allied National Global Care | $35 | 1104% |
| Christian Care Ministry | $35 | 1104% |
| Medi Share | $35 | 1104% |
| Mvp | $35 | 1104% |
| Trinity Health Share | $35 | 1104% |
| Pan-American Life | $35 | 1104% |
| Dean Health | $35 | 1104% |
| Pai | $35 | 1104% |
| Ghc Scw | $35 | 1104% |
| Multiplan | $35 | 1104% |
| Family Life Insurance Company | $35 | 1104% |
| PHCS | $35 | 1104% |
| Lifetime Benefit Solutions | $35 | 1104% |
| International Benefit Administrators | $35 | 1104% |
| Manhattan Life | $35 | 1104% |
| Prime Health Services | $41 | 1293% |
| Connecticare | $42 - $46 | 1325% |
| Health Smart | $43 | 1356% |