CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 81001 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 81001
- Insurance Median: $4
- Cash Discount Price: $238
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at AHMC Anaheim Regional Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$238
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: $238 (7508%)
Insurance Median: $4 (126%)
Cash: $238 (7508% 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 |
|---|---|---|
| Veterans Administration | $2 | 63% |
| Aetna | $3 - $17 | 95% |
| Affiliated Doctors Of Orange County | $3 | 95% |
| Ahmc Reciprocity Agreement | $3 - $71 | 95% |
| Aids Health Foundation | $3 | 95% |
| Align Senior Care | $3 | 95% |
| Alignment Health Plan | $3 | 95% |
| Allied Physicians | $3 - $5 | 95% |
| Alta Los Angeles Hospital | $3 | 95% |
| Altamed Health Network | $3 | 95% |
| Angels Baseball Workers Comp | $3 | 95% |
| Apa Aco Inc | $3 | 95% |
| Applecare Medical Group | $3 | 95% |
| Avanti | $3 - $4 | 95% |
| Beverly Hospital | $3 | 95% |
| Blue Cross Blue Shield | $3 - $11 | 95% |
| Brand New Day | $3 - $4 | 95% |
| Caloptima | $3 - $4 | 95% |
| Central Health Of California | $3 | 95% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $3 | 95% |
| Davita Heatlhcare Partners Plan Inc | $3 - $129 | 95% |
| Emanate Health | $3 - $4 | 95% |
| Health Net | $3 | 95% |
| Health Net Inc | $3 - $183 | 95% |
| Healthcare Partners | $3 | 95% |
| Healthnet | $3 | 95% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $3 | 95% |
| Healthy Way La | $3 | 95% |
| Heritage Provider Network | $3 - $4 | 95% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $3 | 95% |
| Hollywood Presbyterian Medpoint Mcal | $3 | 95% |
| Humana | $3 | 95% |
| Innovative Integrated Health (Iih)/Orange County Pace | $3 | 95% |
| Interplan | $3 - $167 | 95% |
| Kaiser Foundation Hospitals | $3 | 95% |
| Medi-Cal | $3 | 95% |
| Medical Safety Net Program | $3 | 95% |
| Medicare (plans) | $3 - $119 | 95% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $3 | 95% |
| Monarch Health Plan | $3 - $162 | 95% |
| Nchp | $3 | 95% |
| Non Contracted Medi-Cal | $3 | 95% |
| Pacificare | $3 | 95% |
| Private Pay Flat Rate | $3 | 95% |
| Prospect Health Plan | $3 - $4 | 95% |
| Prospect Medical Group | $3 | 95% |
| Scan Health Plan | $3 | 95% |
| Self-Pay | $3 | 95% |
| Seoul Medical Group | $3 | 95% |
| Talbert Medical Group | $3 | 95% |
| Tricare | $3 | 95% |
| Wellcare | $3 | 95% |
| Ahmc Health Self-Insurance Epo | $4 | 126% |
| Athens Administrators | $4 | 126% |
| Capp Care | $4 - $178 | 126% |
| Cigna | $4 | 126% |
| Corvel | $4 - $178 | 126% |
| First Health | $4 - $202 | 126% |
| Knox-Keene Act | $4 | 126% |
| Marriot Intl | $4 | 126% |
| Non Contracted Workers Comp | $4 | 126% |
| Orange County Preferred Provider Organization | $4 - $178 | 126% |
| UnitedHealthcare | $6 - $13 | 189% |
| Monarch Healthcare Medical Group | $8 | 252% |
| Blue Shield Of California | $37 - $43 | 1167% |
| Msi/Medical Services For Indigents | $52 | 1640% |
| Netcare Life And Health Insurance | $60 | 1893% |
| Advance Clinical Research Institute | $71 | 2240% |
| Memorial Healthcare Ipa | $71 | 2240% |
| Medical Acquisition Company | $95 | 2997% |
| Healthcare Partners Commercial | $129 | 4069% |
| Huntington Memorial Hospital | $129 | 4069% |
| Genesis Healthcare Ipa Ancillary | $143 | 4511% |
| Affiliated Health Fund | $167 | 5268% |
| Allnet Preferred Provider | $167 | 5268% |
| Care First | $167 | 5268% |
| Private Healthcare Systems | $167 | 5268% |
| Choicecare | $178 | 5615% |
| Multiplan Inc | $178 | 5615% |
| National Provider Network | $190 | 5994% |
| Three Rivers Providers Network | $190 | 5994% |
| Health Payors Organization | $214 | 6751% |
| Non Contracted Commercial | $238 | 7508% |