CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Whittier Hospital Medical Center
Billing Code: 81001 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 81001
- Insurance Median: $4
- Cash Discount Price: $30
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Whittier Hospital Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$30
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: $30 (946%)
Insurance Median: $4 (126%)
Cash: $30 (946% 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 - $162 | 95% |
| Ahmc Medi-Cal Reciprocity Agreement | $3 | 95% |
| Aids Healthcare Foundation | $3 | 95% |
| Alignment Health Plan | $3 | 95% |
| Allied Physicians | $3 - $5 | 95% |
| Alta Los Angeles Hospitals Inc | $3 | 95% |
| Alta Med Health Network | $3 | 95% |
| Altamed Health Services Corporation | $3 | 95% |
| Apa/Aco Inc | $3 | 95% |
| Avanti | $3 - $4 | 95% |
| Beverly Hospital | $3 | 95% |
| Blue Cross Blue Shield | $3 - $112 | 95% |
| Blue Shield Of California | $3 - $112 | 95% |
| Brand New Day | $3 - $4 | 95% |
| Caloptima | $3 - $4 | 95% |
| Care First Health Plan | $3 | 95% |
| Caremore | $3 | 95% |
| Central Health Plan | $3 | 95% |
| County Of Los Angeles Dept Of Health Services | $3 | 95% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $3 | 95% |
| Easy Choice Health Plan | $3 | 95% |
| Emanate Health | $3 - $4 | 95% |
| Health Net | $3 - $133 | 95% |
| Healthy Way La | $3 | 95% |
| Heritage Provider Network | $3 - $4 | 95% |
| Hollywood Presbyterian Adv Med Mcal | $3 | 95% |
| Hollywood Presbyterian Medpoint Mcal | $3 | 95% |
| Humana | $3 | 95% |
| Kaiser Foundation | $3 - $156 | 95% |
| La Care Covered Direct | $3 | 95% |
| La Care Health Plan | $3 - $123 | 95% |
| La Care Healthy Families/Healthy Kids | $3 | 95% |
| Medi Caid/ Medi Cal | $3 | 95% |
| Medicare (plans) | $3 | 95% |
| Molina Healthcare Of California | $3 | 95% |
| Non Contracted Medi-Cal | $3 | 95% |
| Pacific Alliance Medical Center | $3 | 95% |
| Pacific Independent Physician Association | $3 - $67 | 95% |
| Pacificare Of California | $3 | 95% |
| Private Pay | $3 | 95% |
| Prospect Health Plan | $3 - $5 | 95% |
| San Miguel Health Plan | $3 | 95% |
| Scan Health Plan | $3 | 95% |
| Self-Pay | $3 | 95% |
| Synermed | $3 | 95% |
| Ahmc Health | $4 | 126% |
| Applecare Medical Group | $4 | 126% |
| Athens Administrators Ahmc Work Comp | $4 | 126% |
| Chinatown Service Center Pace | $4 | 126% |
| Cigna | $4 | 126% |
| Fmc Los Angeles County | $4 - $167 | 126% |
| Interplan Health Group | $4 | 126% |
| Knox-Keene Act | $4 | 126% |
| Misc 1 | $4 | 126% |
| Molina Medical Center | $4 - $87 | 126% |
| Monarch Healthplan | $4 | 126% |
| Multiplan Wc | $4 | 126% |
| Tricare | $4 | 126% |
| UnitedHealthcare | $6 - $215 | 189% |
| Health Net Inc | $8 - $145 | 252% |
| Capnet | $9 | 284% |
| Healthnet | $10 - $155 | 315% |
| Physician Healthways | $22 | 694% |
| Physicians Healthways Medical Corporation | $56 | 1767% |
| Ahmc Reciprocity | $67 | 2114% |
| Ahmc Reciprocity Agreement Senior/Commercial | $67 | 2114% |
| Wear And Wood | $67 - $89 | 2114% |
| Edward Medical Group | $78 | 2461% |
| Central Health Plan Of California | $89 | 2808% |
| Allied Physicians Ipa | $100 | 3155% |
| Prospect Medical | $123 | 3880% |
| Care 1St Health Plan | $134 | 4227% |
| New Horizon Medical Group Inc | $134 | 4227% |
| Cost Containment | $145 | 4574% |
| Davita Healthcare Partners | $145 | 4574% |
| Universal Care | $145 - $156 | 4574% |
| Asi/Flex | $156 | 4921% |
| Us Comp Care | $156 | 4921% |
| Value Healthplan Of California | $156 | 4921% |
| Community Care Network | $167 | 5268% |
| Coventry Health Care | $167 | 5268% |
| Coventry Health Care National Network | $167 | 5268% |
| Interplan Corporation | $167 | 5268% |
| Managed Care Administrators | $167 | 5268% |
| Prohealth | $167 | 5268% |
| Multiplan | $190 | 5994% |
| Commercial Non Contract | $223 | 7035% |
| Medi-Cal Sub Acute | $223 | 7035% |
| One Legacy | $223 | 7035% |
| Great-West Healthcare Of California | $2,500 | 78864% |