CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Redlands Community Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $39
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Redlands Community Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $39. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 350 Terracina Blvd, Redlands, CA.
Cash / Self-Pay
$39

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: $39 (1230%)
Insurance Median: $4 (126%)
Cash: $39 (1230% 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
Pacificare (Rmg) - All Other Plans $1 - $97 32%
Blue Shield Ppo/Epo/Hmo - All Other Plans $2 - $194 63%
Heritage/Regal Med Grp Sr $2 - $162 63%
Heritage/Regal Med Grp-All Other Plans $2 - $162 63%
Mhn-All Plans $2 - $162 63%
Aetna $3 - $211 95%
Alinment Health Plan Mcr Adv-All Plans $3 95%
Aps-All Plans $3 - $275 95%
Beaver-All Other Plans $3 - $204 95%
Choicecare-All Plans $3 - $259 95%
Cigna $3 - $243 95%
Coventry-All Plans $3 - $227 95%
Epic Health Plan Senior $3 95%
Health Net Healthy Families $3 95%
Health Net Healthy Kids $3 95%
Health Net Mcr Adv $3 95%
Iehp Health Access Senior $3 95%
Iehp Mcr Adv $3 95%
Interplan - All Plans $3 - $259 95%
Kaiser Medi-Cal $3 95%
Kaiser Senior $3 95%
Medicare (plans) $3 95%
Multiplan Kaiser $3 - $233 95%
Pinnacle Op Only-All Plans $3 - $204 95%
Rymg Op Only-All Plans $3 - $204 95%
Tricare $3 95%
UnitedHealthcare $3 - $251 95%
Universal Care-All Plans $3 95%
Beech Street-All Plans $4 - $292 126%
Caremore Mcr Adv-All Plans $4 126%
Central Health Plan Sr-All Plans $4 126%
Dsh - All Plans $4 126%
Epic Health Plan-All Other Plans $4 126%
Llumc Sr $4 126%
Llumc-All Other Plans $4 126%
Medi-Cal $4 - $324 126%
Patton Dsh Mcr Adv-All Plans $4 126%
Iehp - All Other Plans $5 - $379 158%
Iehp Healthy Family And Kids $5 - $356 158%
Molina Medi-Cal $7 - $550 221%
Blue Shield Mcare $9 284%
Blue Cross Blue Shield $10 315%
Health Net-All Other Plans $10 315%
Kaiser Comm-All Other Plans $18 568%
Pacificare Bmg/Rymg Groups Only $128 4038%
Holman-All Plans $403 12713%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Terracina Blvd, Redlands, CA 92373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals