Urinalysis (automated, with microscopy)
Facility: Greater El Monte Community Hospital
Billing Code: 81001 (CPT)
- CPT Billing Code: 81001
- Insurance Median: $65
- Cash Discount Price: $185
- vs. Medicare Baseline: 20.50x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 2050% of the Medicare baseline (a markup of 1950%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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% |
| Aids Health Foundation | $3 | 95% |
| Alignment Health Plan | $3 | 95% |
| Allied Physicians | $3 - $5 | 95% |
| Allied Physicians Medical Group | $3 - $65 | 95% |
| Altamed Health Network | $3 | 95% |
| Apa/Aco Inc | $3 | 95% |
| Associated Hispanic Physicians | $3 | 95% |
| Avanti | $3 - $4 | 95% |
| Beverly Hospital | $3 | 95% |
| Blue Cross Blue Shield | $3 - $108 | 95% |
| Blue Shield Of California | $3 - $108 | 95% |
| Brand New Day | $3 - $4 | 95% |
| Cms | $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% |
| Good Samaritan Medical Practice Assoc | $3 - $130 | 95% |
| Health Net Foundation | $3 - $140 | 95% |
| Health Net Inc | $3 - $153 | 95% |
| Healthy Way La | $3 | 95% |
| Hollywood Presbyterian Adv Med Mcal | $3 | 95% |
| Hollywood Presbyterian Medpoint Mcal | $3 | 95% |
| Inter Valley Health Plan | $3 | 95% |
| Intercomp | $3 | 95% |
| La Care Covered Direct | $3 | 95% |
| La Care Health Plan | $3 - $119 | 95% |
| Molina Healthcare | $3 | 95% |
| Molina Healthcare Of California | $3 - $84 | 95% |
| Other Non Contracted Medi-Cal Hmo | $3 | 95% |
| Other Non Contracted Senior Hmo | $3 | 95% |
| Pacific Alliance Medical Center Reciprocal Contract | $3 | 95% |
| Pacificare Of California | $3 - $187 | 95% |
| San Miguel Health Plan | $3 | 95% |
| Scan Health Plan | $3 | 95% |
| Self-Pay | $3 | 95% |
| State Of California | $3 | 95% |
| UnitedHealthcare | $3 - $185 | 95% |
| Ahmc Health Self-Insurance Epo | $4 | 126% |
| Athens Administrators | $4 | 126% |
| Caloptima | $4 | 126% |
| Champus Foundation | $4 | 126% |
| Chinatown Service Center Pace | $4 | 126% |
| Cigna | $4 | 126% |
| Interplan | $4 - $162 | 126% |
| Knox-Keene Act | $4 | 126% |
| Multiplan | $4 - $184 | 126% |
| Other Non Contracted Work Comp | $4 | 126% |
| Preferred Health Network | $4 | 126% |
| Central Health Plan | $6 - $151 | 189% |
| Care 1St Medi Cal Hmo Cap Exceptional Care | $15 - $22 | 473% |
| Care First Health Plan | $15 - $22 | 473% |
| Clinica Medica Familiar | $18 - $108 | 568% |
| In Custody-Ca Highway Patrol | $20 | 631% |
| Bella Vista Medical Group Ipa | $31 - $97 | 978% |
| Employee Health Systems Medical Group | $31 - $43 | 978% |
| Global Care Medical Group Ipa | $31 - $97 | 978% |
| Alta Med Health Services Med Grp | $38 - $54 | 1199% |
| Ahmc Reciprocity Agreement | $46 - $65 | 1451% |
| Ahmc Reciprocity Agreement Senior/Commercial | $46 - $65 | 1451% |
| Lincoln Hospital Medical Center | $46 - $65 | 1451% |
| California Thoroughbred Horesmans Foundation | $76 - $108 | 2397% |
| Universal Care | $76 - $151 | 2397% |
| Care 1St Health Plan | $92 - $130 | 2902% |
| Cost Containment Strategies | $99 - $140 | 3123% |
| In Custody Police Dept | $99 - $140 | 3123% |
| Community Care Network | $122 - $173 | 3849% |
| Health Payors Organization | $138 - $194 | 4353% |
| Commercial Non Contract | $153 - $216 | 4826% |
| Medi-Cal Sub Acute | $153 - $216 | 4826% |
| Nuclear Medicine/Whmc | $153 - $216 | 4826% |
| One Legacy | $153 - $216 | 4826% |