Urinalysis (automated, with microscopy)
Facility: Mercy St Francis Hospital
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $66
- Cash Discount Price: $47
- vs. Medicare Baseline: 20.82x 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 2082% of the Medicare baseline (a markup of 1982%). 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 |
|---|---|---|
| Globalhealth Contracted [320145] | $3 - $25 | 95% |
| Medicaid / KanCare | $3 - $38 | 95% |
| Medicare (plans) | $3 - $26 | 95% |
| Blue Cross Blue Shield | $3 - $71 | 95% |
| UnitedHealthcare | $4 - $69 | 126% |
| Pace of the Ozarks Contracted [320518] | $20 - $25 | 631% |
| Cherokee Nation Health Serv Contracted [320066] | $20 - $25 | 631% |
| Halo Hcr Inc Hospice Contracted [320432] | $20 - $25 | 631% |
| Cigna | $20 - $69 | 631% |
| Halo Hcr Inc Hospice [20432] | $20 - $25 | 631% |
| Kindful Hospice Contracted [320434] | $20 - $25 | 631% |
| Elara Caring Aspire Hospice [20433] | $20 - $25 | 631% |
| Aetna | $20 - $65 | 631% |
| Dept of Veteran Affairs Contracted [320106] | $20 - $25 | 631% |
| Acentra Health Contracted [320527] | $20 | 631% |
| Mercy Mgd Behavioral Health Contracted [320259] | $20 - $25 | 631% |
| Indian Health Service Contracted [320198] | $20 - $25 | 631% |
| Kindful Hospice [20434] | $20 - $25 | 631% |
| Qual Choice Contracted [320325] | $20 - $25 | 631% |
| Humana | $20 - $66 | 631% |
| Mercy Hospice Okc [20252] | $20 - $25 | 631% |
| Medical Associates Health Contracted [320444] | $20 - $25 | 631% |
| Cross Timbers Hospice [20098] | $20 - $25 | 631% |
| Provider Partners Health Plans Contracted [320450] | $20 - $25 | 631% |
| Healthscope Contracted [320182] | $25 - $33 | 789% |
| Tricare | $25 | 789% |
| Administrative Payor Contracted [320005] | $33 | 1041% |
| Centivo Contracted [320505] | $33 - $42 | 1041% |
| Ambetter / Centene | $38 | 1199% |
| Home State Health Plan Contracted [320187] | $38 | 1199% |
| Novasys Contracted [320285] | $38 | 1199% |
| Healthlink Contracted [320179] | $47 - $69 | 1483% |
| Preferred Health Plan Contracted [320522] | $47 | 1483% |
| Workers Comp [20426] | $58 - $62 | 1830% |
| Mercy Benefit Admin Contracted [320251] | $66 - $69 | 2082% |
| Auxiant Contracted [320462] | $66 - $69 | 2082% |
| United Medical Resources Contracted [320454] | $66 - $68 | 2082% |
| Point C Contracted [320238] | $66 - $69 | 2082% |
| Point C [20238] | $69 | 2177% |
| Edison Health Solutions Contracted [320502] | $69 | 2177% |
| Multiplan Contracted [320270] | $69 | 2177% |
| Insurance System Inc Contracted [320465] | $69 | 2177% |
| Show-Me Health Administrators Contracted [320483] | $69 | 2177% |
| Aither Health Contracted [320449] | $69 | 2177% |
| Health Systems Inc Contracted [320174] | $69 | 2177% |
| Imagine 360 Contracted [320494] | $69 | 2177% |
| Benefit Management Contracted [320052] | $69 | 2177% |
| 90 Degree Benefits Contracted [320436] | $69 | 2177% |
| USA Managed Care Org Contracted [320429] | $69 | 2177% |
| Yuzu Health Contracted [320521] | $69 | 2177% |
| First Health Contracted [320128] | $69 | 2177% |
| Private Health Care Systems Contracted [320320] | $69 | 2177% |
| Ebms Contracted [320493] | $69 | 2177% |
| Evolutions Health Care Contracted [320124] | $69 | 2177% |
| Medica Contracted [320239] | $69 | 2177% |
| Reflect Health Contracted [320492] | $69 | 2177% |