CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Chinese Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 81001
Insurance Median: $11
Cash Discount Price: $111
vs. Medicare Baseline: 3.47x Medicare

The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Chinese Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 3.47x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$11

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: $111 (3502%)

Insurance Median: $11 (347%)

Cash: $111 (3502% of Medicare)

Ins. Median: $11 (347% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 347% of the Medicare baseline (a markup of 247%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$1 - $6	32%
Aetna	$3 - $16	95%
Cchp Mcr Adv	$3	95%
Jade Mcr Adv	$3	95%
Jade-All Other Plans	$3	95%
On Lok Mcr Adv-All Plans	$3	95%
Hp Of San Mateo Medi-Cal	$4	126%
Medi-Cal	$4	126%
San Francisco Health Plan- All Plans	$4	126%
Asian Medical Group Medi-Cal Op Only	$5	158%
Blue Shield Medi-Cal	$5	158%
Hp Of San Mateo Health Kids/Health Worx-All Other	$5	158%
Jade Medi-Cal	$7	221%
Cigna	$21 - $101	662%
Health Net-All Plans	$21 - $97	662%
Cchp-All Other Plans	$33 - $156	1041%
Hp Of San Mateo Mcr Adv	$35 - $165	1104%
Asian Medical Group Mcare Op Only-All Other Plans	$39 - $183	1230%
Bay Area Accountable Care Mcare	$39 - $183	1230%
Bay Area Accountable Care - All Other Plans	$70 - $329	2208%
Blue Shield - All Other Plans	$261	8233%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $111.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 81001.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Chinese Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 81001.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.