CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Antelope Valley Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $35
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Antelope Valley Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 1600 W Ave J, Lancaster, CA.
Cash / Self-Pay
$35

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: $35 (1104%)
Insurance Median: $4 (126%)
Cash: $35 (1104% 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
Alignment Healthcare $3 95%
Brand New Day $3 95%
Central Health Plan Of California $3 95%
Citizens Choice Healthplan $3 95%
For Your Benefit $3 95%
Health Net Of California $3 - $4 95%
Humana $3 95%
L.A. Care Health Plan $3 95%
Wellcare $3 95%
Aids Foundation $4 126%
Align Senior Care Ca $4 126%
Ca State Prison $4 126%
Champion Health Plan $4 126%
Clever Care Health Plan $4 126%
Oscar Hp/Providence Health Network $5 158%
Blue Shield $6 189%
Aetna $8 252%
Cigna $15 473%
Blue Shield Of California $550 17350%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1600 W Ave J, Lancaster, CA 93534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals