CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Garfield Medical Center
Billing Code: 81001 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 81001
- Insurance Median: $6
- Cash Discount Price: $424
- vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Garfield Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $424. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.89x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$424
Average discount available for prompt cash payment at this facility.
Insurance Median
$6
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: $424 (13375%)
Insurance Median: $6 (189%)
Cash: $424 (13375% of Medicare)
Ins. Median: $6 (189% 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% |
| Advantage Care Ipa | $3 - $424 | 95% |
| Aetna | $3 - $309 | 95% |
| Ahmc Healthcare Inc | $3 - $127 | 95% |
| Aids Health Foundation | $3 | 95% |
| Alignment Health Plan | $3 | 95% |
| Allied Physicians | $3 - $5 | 95% |
| Apa Aco Inc | $3 | 95% |
| Avanti | $3 - $4 | 95% |
| Beverly Hospital | $3 | 95% |
| Blue Cross Blue Shield | $3 - $212 | 95% |
| Blue Shield | $3 - $45 | 95% |
| Blue Shield Of California | $3 - $212 | 95% |
| Brand New Day | $3 - $4 | 95% |
| Care 1St Mcl/Gar Cap Reciprocity | $3 | 95% |
| Central Health Plan | $3 - $170 | 95% |
| Cms | $3 | 95% |
| Community Health Plan | $3 | 95% |
| Cv-19 Hrsa Uninsured Testing And Tx | $3 | 95% |
| Easy Choice Health Plan | $3 | 95% |
| Emanate Health | $3 - $4 | 95% |
| First Health Network | $3 - $297 | 95% |
| Health Net | $3 - $356 | 95% |
| Healthy Way La | $3 | 95% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $3 | 95% |
| Hollywood Presbyterian Medpoint Mcal | $3 | 95% |
| Humana | $3 | 95% |
| Inter Valley Health Plan | $3 | 95% |
| La Care Covered Direct | $3 | 95% |
| La Care Health Plan | $3 - $233 | 95% |
| Molina Healthcare | $3 | 95% |
| Molina Healthcare Of California | $3 - $4 | 95% |
| National Disaster Medical System | $3 | 95% |
| Non-Contract Medi-Care | $3 | 95% |
| Other Non-Contracting Medi-Cal | $3 | 95% |
| Pacific Alliance Medical Center Comm/Sr | $3 | 95% |
| Physicians Healthways Medi-Cal | $3 - $424 | 95% |
| Physicians Healthways Medical Corporation | $3 - $424 | 95% |
| San Miguel Health Plan | $3 | 95% |
| Scan Health Plan Sr Hmo | $3 | 95% |
| Self-Pay | $3 | 95% |
| State Of California Medi-Cal | $3 | 95% |
| Ucla Impact Dept Of Uncology | $3 | 95% |
| UnitedHealthcare | $3 - $254 | 95% |
| Ahmc Health Epo | $4 | 126% |
| Athens Administrators | $4 | 126% |
| Chinatown Service Center Pace | $4 | 126% |
| Cigna | $4 | 126% |
| Interplan | $4 - $318 | 126% |
| Knox-Keene Act | $4 | 126% |
| Multiplan | $4 - $360 | 126% |
| Other Non-Contracted Workers Compensation | $4 | 126% |
| Physician Healthways Medical Corporation | $4 | 126% |
| Preferred Health Network | $4 | 126% |
| Caloptima Direct | $5 | 158% |
| Health Net Comm/Hmo | $5 - $233 | 158% |
| Health Net Inc | $5 | 158% |
| Pacificare Of California Inc | $6 | 189% |
| Pacificare Ppo | $6 | 189% |
| Pacific Independent Physician Association | $34 - $68 | 1073% |
| Access Ipa Ancillary | $42 - $127 | 1325% |
| Associated Hispanic Phys Of So Cal | $42 - $85 | 1325% |
| Care First Health Plan | $42 | 1325% |
| Employee Health Systems Mg | $85 | 2681% |
| Family Health Alliance | $127 | 4006% |
| Allied Physicians Risk Pool | $148 | 4669% |
| Allied Physicians Risk Pool Agreement | $148 | 4669% |
| Healthnet Medi Cal Cap | $148 | 4669% |
| Pipa Risk Pool Agreement | $148 | 4669% |
| Molina Medical Group | $165 | 5205% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $170 | 5363% |
| Health Net Foundation M Cal (Family Health Alliance) | $170 | 5363% |
| Phys Assoc Of San Gab Valley | $170 | 5363% |
| Allied Physicians Med Grp | $212 | 6688% |
| Alhambra Hospital | $254 | 8013% |
| Care 1St Health Plan | $254 | 8013% |
| One Health Plan | $297 | 9369% |
| Fmc Los Angeles Co Epo | $318 | 10032% |
| Corvel Corporation | $339 | 10694% |
| Americas Health Plan | $360 | 11356% |
| Health Payors Organization | $382 | 12050% |
| East La Reg Ctr | $424 | 13375% |
| Non Contract Commercial | $424 | 13375% |
| One Legacy | $424 | 13375% |
| Private Pay | $424 | 13375% |