CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Chapman Global Medical Center
Billing Code: 81001 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 81001
- Insurance Median: $4
- Cash Discount Price: $17
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Chapman Global Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 2601 E Chapman Ave, Orange, CA.
Cash / Self-Pay
$17
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: $17 (536%)
Insurance Median: $4 (126%)
Cash: $17 (536% 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
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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 |
|---|---|---|
| Aetna | $3 - $10 | 95% |
| Altamed | $3 - $4 | 95% |
| Altamed Mcal Hmo (Ancillary) | $3 | 95% |
| Altamed Health Services | $3 | 95% |
| Apex Hospice | $3 | 95% |
| Astiva | $3 | 95% |
| Blue Shield Of California | $3 - $12 | 95% |
| Brand New Day | $3 - $4 | 95% |
| Caloptima | $3 - $4 | 95% |
| Central Health Plan | $3 | 95% |
| Champ | $3 | 95% |
| Champion Health Plan | $3 | 95% |
| Champus | $3 | 95% |
| Choice Physicians Network | $3 | 95% |
| Citizen Choice Health Plan | $3 | 95% |
| Clever Care | $3 | 95% |
| Coventry Health | $3 - $4 | 95% |
| Easy Choice | $3 | 95% |
| For Your Benefit | $3 | 95% |
| Health Net | $3 - $12 | 95% |
| Healthcare Partners | $3 | 95% |
| Healthcare Partners Hmo | $3 | 95% |
| Healthcare Partners Sr Hmo | $3 | 95% |
| Heritage Provider Network | $3 - $10 | 95% |
| Hollywood Presbyterian | $3 | 95% |
| Humana | $3 | 95% |
| Imperial Health Plan Of Ca | $3 | 95% |
| Innovative Integrated Health | $3 | 95% |
| Interplan | $3 - $13 | 95% |
| Kaiser | $3 - $10 | 95% |
| Medcare Partners Health Plan | $3 | 95% |
| Medi-Cal | $3 | 95% |
| Medicare (plans) | $3 | 95% |
| Monarch Health Plan | $3 - $4 | 95% |
| Monarch Sr | $3 | 95% |
| Onecare | $3 | 95% |
| Onecare/Connect | $3 | 95% |
| Prime Health Services | $3 - $14 | 95% |
| Prospect Health Plan | $3 - $5 | 95% |
| Scan Health Plan | $3 | 95% |
| Scan/Altamed | $3 | 95% |
| Self Pay | $3 | 95% |
| St Joseph | $3 | 95% |
| State Of California | $3 | 95% |
| UnitedHealthcare | $3 | 95% |
| Us Department Of Labor/Workers Comp | $3 | 95% |
| Us Federal Marshall/Department Of Immigration | $3 | 95% |
| Velocity National Provider Network Sr | $3 | 95% |
| Verda Health Plan | $3 | 95% |
| Veterans Administration | $3 | 95% |
| Victim Of Violent Crime | $3 | 95% |
| Victoria Hospice | $3 | 95% |
| Align Senior Care | $4 | 126% |
| Altamed Whole Child Model/Caloptima | $4 | 126% |
| Choc Health Alliance | $4 | 126% |
| County Of Orange | $4 | 126% |
| Family Choice | $4 | 126% |
| Indemnity Workers Comp California Fee Schedule | $4 | 126% |
| Multiplan | $4 | 126% |
| Staywell/Island Home Ins | $4 | 126% |
| Three Rivers Wc | $4 | 126% |
| Velocity National Provider Network Wc | $4 | 126% |
| Veterans Evaluation Services | $4 | 126% |
| Ihhi | $5 | 158% |
| Cigna | $6 - $14 | 189% |
| Three Rivers Network | $6 | 189% |
| Velocity National Provider Network Ppo | $6 | 189% |
| Velocity National Provider Network Auto Med Ppo | $8 | 252% |
| First Health | $9 | 284% |
| Magellan | $10 | 315% |
| Magellan Behavioral Health | $10 | 315% |
| Multiplan/Master | $12 | 379% |
| Networks By Design | $12 | 379% |
| Healthsmart Preferred Network | $13 | 410% |
| Pnoa-Provider Network Of America | $14 | 442% |
| Prime Health Services/Network | $14 | 442% |
| Clinics | $17 | 536% |
| Lucet Bh Scan Sr | $17 | 536% |
| Managed Health Network | $17 | 536% |
| Opiate Detox Institute | $17 | 536% |
| Other Insurance | $17 | 536% |
| Other Non Contracted Insurance Plans | $17 | 536% |
| Private Pay | $17 | 536% |
| Silverado Hospice | $17 | 536% |
| Us Behavioral Health | $17 | 536% |
| Waismann Method Medical Group | $17 | 536% |
| West Coast Hospice Care | $17 | 536% |