CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Menifee Global Medical Center
Billing Code: 81001 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 81001
- Insurance Median: $4
- Cash Discount Price: $118
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Menifee Global Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$118
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: $118 (3722%)
Insurance Median: $4 (126%)
Cash: $118 (3722% 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 |
|---|---|---|
| Aetna | $3 - $75 | 95% |
| Altamed Comm Hmo (Ancillary) | $3 - $118 | 95% |
| Altamed Health Services Senior | $3 | 95% |
| Altamed Sr/Pace | $3 | 95% |
| Blue Cross Blue Shield | $3 | 95% |
| Blue Shield Senior | $3 | 95% |
| Central Health Plan Senior | $3 | 95% |
| Clever Care Health Plan Sr | $3 | 95% |
| Coventry | $3 - $4 | 95% |
| For Your Benefit Senior | $3 | 95% |
| Guidant Health Plan Senior | $3 | 95% |
| Health Net Medi-Cal | $3 | 95% |
| Health Net Senior | $3 | 95% |
| Hpn Mcal | $3 | 95% |
| Hpn Senior | $3 | 95% |
| Humana | $3 | 95% |
| Ic | $3 - $118 | 95% |
| Imperial Health Plan Of Ca | $3 | 95% |
| Kaiser Medi-Cal | $3 | 95% |
| Kaiser Senior | $3 | 95% |
| Lasalle Medical Assoc (Ancillary) Commercial | $3 | 95% |
| Lasalle Medical Assoc (Ancillary) Mcal Hmo | $3 | 95% |
| Lasalle Medical Assoc (Ancillary) Senior | $3 | 95% |
| Managed Health Network Sr | $3 | 95% |
| Medicare (plans) | $3 | 95% |
| Molina Medi-Cal | $3 | 95% |
| Neighborhood Healthcare Pace | $3 | 95% |
| Point Comfort Underwriters | $3 | 95% |
| Prime Health Services Wcomp | $3 | 95% |
| Primecare Senior | $3 | 95% |
| Prospect Health Plan Mcal Hmo | $3 | 95% |
| Prospect Health Plan Sr Hmo | $3 | 95% |
| Scan Senior | $3 | 95% |
| Self Pay/Ab774/Charity Discount | $3 | 95% |
| Sr Capitation | $3 | 95% |
| Tricare | $3 | 95% |
| UnitedHealthcare | $3 - $4 | 95% |
| Veterans Administration | $3 | 95% |
| Align Senior Care | $4 | 126% |
| Altamed Mcal Hmo | $4 | 126% |
| Altamed Mcal/Pace | $4 | 126% |
| Choice Physicians Network | $4 | 126% |
| Health Net Enhanced Ppo | $4 | 126% |
| Hpn Commercial/Covered Ca | $4 | 126% |
| Iehp Covered Ca | $4 | 126% |
| Iehp Medi-Cal | $4 | 126% |
| Molina Covered Ca | $4 | 126% |
| Prime Health Services Senior | $4 | 126% |
| Prospect Health Plan Comm Hmo | $4 | 126% |
| Three Rivers Wcomp | $4 | 126% |
| Welbehealth Sr/Pace | $4 | 126% |
| Workers Comp Non-Contracted | $4 | 126% |
| Health Net Comm | $5 | 158% |
| Cigna | $6 - $94 | 189% |
| Three Rivers Network | $6 | 189% |
| Velocity | $6 - $53 | 189% |
| Blue Shield Epn | $9 | 284% |
| Blue Shield Commercial | $10 | 315% |
| First Health Commercial | $62 | 1956% |
| Primecare Commercial | $77 | 2429% |
| Multiplan Ppo | $83 | 2618% |
| Multiplan Wcomp | $83 | 2618% |
| Pnoa-Provider Network Of America | $94 | 2965% |
| Prime Health Services Commercial | $94 | 2965% |
| Ava Hospice | $118 | 3722% |
| Kaiser Commercial | $118 | 3722% |
| Living Waters Hospice | $118 | 3722% |
| Managed Health Network | $118 | 3722% |
| Other Insurance Loa | $118 | 3722% |
| Pacific Valley Hospice | $118 | 3722% |
| Private Pay | $118 | 3722% |
| Silverado Hospice | $118 | 3722% |
| Vna Hospice | $118 | 3722% |