CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Parkview Community Hospital Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $60
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Parkview Community Hospital Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 3865 Jackson Street, Riverside, CA.
Cash / Self-Pay
$60

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

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: $60 (1893%)
Insurance Median: $5 (158%)
Cash: $60 (1893% of Medicare)
Ins. Median: $5 (158% 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 - $529 95%
Alignment $3 95%
Blue Cross Blue Shield $3 - $16 95%
Blue Shield $3 - $34 95%
Central Health Plan $3 95%
Champus $3 95%
Health Net $3 - $5 95%
Humana $3 95%
Iehp $3 - $4 95%
Medi-Cal $3 95%
Medicare (plans) $3 95%
Molina Covered Ca $3 95%
Molina Medi-Cal $3 95%
Molina Senior $3 95%
Scan $3 95%
Regal $4 - $38 126%
Cigna $6 189%
UnitedHealthcare $6 - $27 189%
Ahmc $14 - $22 442%
Blue Shield Ppo $33 1041%
Self Pay $45 - $75 1420%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3865 Jackson Street, Riverside, CA 92503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals