CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Monterey Park Hospital
Billing Code: 81001 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 81001
- Insurance Median: $4
- Cash Discount Price: $315
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Monterey Park Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $315. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$315
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: $315 (9937%)
Insurance Median: $4 (126%)
Cash: $315 (9937% 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.
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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% |
| Access Ipa Ancillary | $3 | 95% |
| Accountable Ipa | $3 | 95% |
| Aetna | $3 - $229 | 95% |
| Ahmc Healthcare Inc | $3 - $94 | 95% |
| Aids Health Foundation | $3 | 95% |
| Alhambra Community Dialysis Unit Inc | $3 - $189 | 95% |
| Alignment Health Plan | $3 | 95% |
| Allied Physicians | $3 - $5 | 95% |
| Alta Med Health Services Corp | $3 - $79 | 95% |
| Altamed Health Network | $3 | 95% |
| Altamed Health Services | $3 | 95% |
| Apa/Aco Inc | $3 | 95% |
| Applecare Medical Group | $3 | 95% |
| Assess Ipa | $3 | 95% |
| Associated Hispanic Physicians Ancillary | $3 | 95% |
| Avanti | $3 - $4 | 95% |
| Bella Vista Medical Group | $3 - $94 | 95% |
| Bella Vista Medical Group Ancillary | $3 | 95% |
| Beverly Hospital | $3 | 95% |
| Blue Cross Blue Shield | $3 - $158 | 95% |
| Blue Shield Of California | $3 - $304 | 95% |
| Brand New Day | $3 - $4 | 95% |
| Care 1St Mcl/Gar Cap | $3 | 95% |
| Central Health Plan | $3 | 95% |
| Cms | $3 | 95% |
| Community Health Plan | $3 | 95% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $3 | 95% |
| Easy Choice Health Plan | $3 | 95% |
| Emanate Health | $3 - $4 | 95% |
| Esperanza Medical Group Ipa | $3 - $94 | 95% |
| Family Health Alliance Medical Group | $3 - $94 | 95% |
| First Health Senior | $3 | 95% |
| Foundation Health Plan | $3 | 95% |
| Health Net | $3 - $205 | 95% |
| Health Net Inc | $3 - $223 | 95% |
| Health Net Medi Cal | $3 | 95% |
| Healthnet Inc | $3 | 95% |
| Healthy Way La | $3 | 95% |
| Hollywood Presbyterian Adv Med Mcal | $3 | 95% |
| Hollywood Presbyterian Medpoint Mcal | $3 | 95% |
| Humana | $3 | 95% |
| La Care | $3 | 95% |
| La Care Covered Direct | $3 | 95% |
| La Care Health Plan | $3 - $173 | 95% |
| Maxi Med Inc/Ipa | $3 | 95% |
| Medi Cal | $3 | 95% |
| Medical Managed Care Program | $3 | 95% |
| Medicare (plans) | $3 | 95% |
| Molina Healthcare | $3 | 95% |
| Molina Healthcare Medi-Connect | $3 | 95% |
| Other Non-Contracted Medi-Cal | $3 | 95% |
| Pacific Independent Physician Association | $3 - $94 | 95% |
| Preferred Ipa | $3 - $4 | 95% |
| Preferred Ipa Of California | $3 | 95% |
| San Miguel Health Plan | $3 | 95% |
| Scan Health Plan | $3 | 95% |
| Secure Horizons | $3 | 95% |
| Self-Pay | $3 | 95% |
| Senior Citizens Choice | $3 | 95% |
| Ucla/Impact Cancer | $3 | 95% |
| UnitedHealthcare | $3 - $220 | 95% |
| Ahmc Health Epo | $4 | 126% |
| Asi Flex Ppo W/C | $4 | 126% |
| Athens Administrators | $4 | 126% |
| Cigna | $4 | 126% |
| Indemnity W Comp Fee Schedule | $4 | 126% |
| Interplan | $4 - $236 | 126% |
| Knox-Keene Act | $4 | 126% |
| Molina Healthcare Of California | $4 | 126% |
| Multiplan | $4 - $268 | 126% |
| Preferred Health Network | $4 - $252 | 126% |
| Caloptima Direct | $5 | 158% |
| Pacificare | $6 - $13 | 189% |
| Health Net Of California | $9 - $188 | 284% |
| Altamed Health Services Corporation | $32 | 1009% |
| Care 1St M Cal | $32 | 1009% |
| Crown City Medical Group Inc | $32 | 1009% |
| Garfield Medical Center | $32 | 1009% |
| Physician Healthways | $32 - $79 | 1009% |
| Universal Care M Cal/Advantage Health Network | $32 | 1009% |
| Employee Health Systems Medical Group | $63 | 1987% |
| Global Care Medical Group Ipa | $63 - $142 | 1987% |
| Healthnet/Ehs Capitation | $63 | 1987% |
| Hispanic Physicians Ipa Medical Corporation | $79 | 2492% |
| Ahmc Reciprocity Agreement Senior/Commercial | $94 | 2965% |
| Allied Physicians Ipa | $94 | 2965% |
| Community Health Plan M Cal Joy Ipa | $94 | 2965% |
| Tenet Reciprocity | $94 | 2965% |
| Healthcare Partners Affiliates Medical Group | $112 | 3533% |
| Molina Medical Centers | $123 | 3880% |
| Central Health Plan Of California | $126 | 3975% |
| Care 1St Health Plan | $189 | 5962% |
| Greater Los Angeles Dialysis Inc | $189 | 5962% |
| One Health Plan | $189 - $775 | 5962% |
| Choice Care Network | $205 | 6467% |
| Healthnet | $205 | 6467% |
| Universal Care | $220 | 6940% |
| Corvel Corporation | $252 - $925 | 7950% |
| Bce Emergis Corp | $268 | 8454% |
| Commercial Non Contract | $315 | 9937% |
| Mri/Ct Greater El Monte Hospital | $315 | 9937% |
| Mri/Mra/Alhambra Hospital | $315 | 9937% |
| Mri/Mra/Eladh | $315 | 9937% |
| One Legacy | $315 | 9937% |