CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Riverside Community Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $477
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Riverside Community Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $477. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.
Cash / Self-Pay
$477

Average discount available for prompt cash payment at this facility.

Insurance Median
$4

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: $477 (15047%)
Insurance Median: $4 (126%)
Cash: $477 (15047% of Medicare)
Ins. Median: $4 (126% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $3 - $86 95%
Alignment Health Plan $3 95%
Blue Cross Blue Shield $3 - $16 95%
Blue Shield $3 - $35 95%
Brand New Day $3 - $4 95%
Bristol Hospice $3 95%
Care1St Health Plan $3 95%
Central Health Plan $3 95%
Clever Care Of Golden State $3 95%
Easy Choice Health Plan $3 95%
Health Net $3 - $106 95%
Heritage Provider Network $3 - $4 95%
Humana $3 95%
Redlands Community Hospital $3 95%
Riverside Medical Clinic $3 - $4 95%
Riverside Physician $3 95%
Scan Health Plan $3 95%
Triwest Healthcare Alliance $3 95%
United $3 - $126 95%
UnitedHealthcare $3 95%
Corvel Corporation $4 126%
Healthsmart $4 - $382 126%
La Care Health $4 126%
Molina $4 126%
Next $4 - $382 126%
Inland Empire Health Plan $5 158%
Bright Health $8 252%
Cigna $9 284%
Medcare Partners $72 2271%
First Health $210 - $430 6625%
American Health System $215 6782%
Multiplan $382 - $406 12050%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4445 Magnolia Avenue, Riverside, CA 92501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals