Urinalysis (automated, with microscopy)
Facility: San Gabriel Valley Medical Center
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $4
- Cash Discount Price: $133
- vs. Medicare Baseline: 1.26x 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 |
|---|---|---|
| Veterans Administration | $2 | 63% |
| Aetna | $3 - $5 | 95% |
| Ahmc Medi-Cal Reciprocity | $3 | 95% |
| Aids Healthcare Foundation | $3 - $178 | 95% |
| Alignment Health Plan | $3 | 95% |
| Allied Physicians | $3 - $5 | 95% |
| Altamed Health Network | $3 | 95% |
| Apa/Aco Inc | $3 | 95% |
| Avanti | $3 - $4 | 95% |
| Beverly Hospital | $3 | 95% |
| Blue Cross Blue Shield | $3 - $15 | 95% |
| Blue Shield Of California | $3 - $45 | 95% |
| Brand New Day | $3 - $155 | 95% |
| Central Health Plan | $3 - $266 | 95% |
| Cv-19 Hrsa Uninsured Testing And Tx | $3 | 95% |
| Emanate Health | $3 - $4 | 95% |
| Health Net | $3 - $258 | 95% |
| Health Net Inc | $3 - $7 | 95% |
| Healthnet Medi-Cal Non-Contract | $3 | 95% |
| Healthy Way La | $3 | 95% |
| Hollywood Presbyterian Adv Med Mcal | $3 | 95% |
| Hollywood Presbyterian Medpoint Mcal | $3 | 95% |
| Humana | $3 | 95% |
| Inter Valley Health Plan | $3 | 95% |
| La Care Health Plan | $3 | 95% |
| Medicaid / KanCare | $3 | 95% |
| Medicare (plans) | $3 | 95% |
| Molina Healthcare Of California | $3 - $173 | 95% |
| Non Contracting Medi Cal | $3 | 95% |
| Pacific Alliance Medical Center | $3 | 95% |
| Pacificare Of California | $3 - $145 | 95% |
| Physicians Healthways | $3 | 95% |
| Providence Health Network | $3 | 95% |
| Self-Pay | $3 | 95% |
| St Vincent Medical Center/Psych | $3 | 95% |
| Tricare | $3 | 95% |
| Wellcare | $3 | 95% |
| Ahmc Health Self-Insurance Epo | $4 | 126% |
| Athens Administrators | $4 | 126% |
| Beech Street | $4 - $355 | 126% |
| Care 1St Health Plan | $4 - $289 | 126% |
| Chinatown Service Center Pace | $4 | 126% |
| Cigna | $4 | 126% |
| Knox-Keene Act | $4 | 126% |
| Other Non Contracting Workers Comp | $4 | 126% |
| UnitedHealthcare | $6 - $13 | 189% |
| Private Pay | $9 | 284% |
| Ahmc Reciprocity | $133 | 4196% |
| Alignment Healthplan | $155 | 4890% |
| Clever Care | $155 | 4890% |
| Pacific Independent Physician Associates | $178 | 5615% |
| Facey Medical | $222 | 7003% |
| Community Care Network | $289 | 9117% |
| Choicecare Network | $311 | 9811% |
| Private Healthcare Systems (Phcs) | $311 | 9811% |
| Affiliated Health Fund | $333 | 10505% |
| Multiplan | $400 | 12618% |
| Ppo Next | $400 | 12618% |
| Managed Health Network | $444 | 14006% |
| Medi-Cal Sub Acute | $444 | 14006% |
| One Legacy | $444 | 14006% |
| Other Non Contracted Commercial | $444 | 14006% |
| Us Behavioral Health Plan | $444 | 14006% |