Urinalysis (automated, with microscopy)
Facility: Boston Medical Center
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $3
- Cash Discount Price: $17
- vs. Medicare Baseline: 0.95x 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.
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 |
|---|---|---|
| Mass General Brigham Health Plan ACO [1120] | $3 | 95% |
| Eternalhealth [1227] | $3 | 95% |
| Wellsense [7001] | $3 | 95% |
| Mass General Brigham Health Plan McD Mnged [1107] | $3 | 95% |
| Zzzunited [1008] | $3 - $9 | 95% |
| Wellsense Essential McO [1101] | $3 | 95% |
| Humana | $3 | 95% |
| Oxford Health [1007] | $3 | 95% |
| Corrections [9001] | $3 - $4 | 95% |
| United [2025] | $3 - $9 | 95% |
| Hlth New England ACO [1123] | $3 | 95% |
| Fallon Sco [1126] | $3 | 95% |
| Wellsense Alli ACO [1118] | $3 | 95% |
| Zzzcovid19 Hrsa Uninsured Testing and Treatment Fund [500010] | $3 | 95% |
| Veterans Admin [9003] | $3 | 95% |
| Wellcare [1240] | $3 | 95% |
| Tufts Together ACO [1122] | $3 | 95% |
| Cca [1215] | $3 | 95% |
| Blue Cross Blue Shield | $3 - $6 | 95% |
| Ubh Hphc [8016] | $3 | 95% |
| Tufts [8002] | $3 - $9 | 95% |
| Aetna | $3 - $19 | 95% |
| UnitedHealthcare | $3 | 95% |
| Neighborhood Pace [1206] | $3 | 95% |
| Medicare (plans) | $3 | 95% |
| Tufts Together McO [1125] | $3 | 95% |
| Zzzcca Onecare [1216] | $3 | 95% |
| Medicaid / KanCare | $3 | 95% |
| Fallon Healthcre ACO [1121] | $3 | 95% |
| Oxford Health [2024] | $3 | 95% |
| Workers Comp [5002] | $4 | 126% |
| Fallon [8008] | $4 | 126% |
| Tricare | $4 | 126% |
| Champva [9004] | $4 | 126% |
| Zzzcity of Boston Work Comp [5003] | $4 | 126% |
| Zzzbu Employee Work Comp [5004] | $4 | 126% |
| Senior Whole Health [1210] | $4 | 126% |
| Tufts Conncare/Qhp [8020] | $4 | 126% |
| Cigna | $4 - $9 | 126% |
| Unicare [8004] | $6 | 189% |
| Wellpoint [2034] | $6 | 189% |
| Harvard Pilgrim Health Care [8001] | $9 | 284% |
| Zzzhealth Plans Inc [1013] | $9 | 284% |
| Health Plans Inc [2027] | $9 | 284% |
| Uphams Corner Esp [1213] | $15 | 473% |
| Meritain Health [1023] | $17 | 536% |
| Mass General Brigham Health Plan Commercial [8009] | $20 | 631% |
| Hsn [4001] | $513 | 16183% |
| Hsn Partial [4002] | $513 | 16183% |
| Hsn Dental [4006] | $513 | 16183% |
| Hsn Bad Debt [4003] | $513 | 16183% |
| Hsn Confidential [4007] | $513 | 16183% |