CMS Price Transparency Data
Urinalysis (automated, with microscopy)
Facility: Coastal Communities Hospital
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 Coastal Communities Hospital 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 2701 S Bristol St, Santa Ana, 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 |
|---|---|---|
| Altamed Health Services | $3 - $4 | 95% |
| Altamed Mcal Hmo (Ancillary) | $3 | 95% |
| Blue Shield | $3 - $12 | 95% |
| Caloptima | $3 - $4 | 95% |
| Central Health Plan Of California | $3 | 95% |
| Champion Health Plan | $3 | 95% |
| Champus | $3 | 95% |
| Choice Physicians Network | $3 | 95% |
| Citizens Choice Health Plan | $3 | 95% |
| Clever Care Health Plan | $3 | 95% |
| Coventry Auto Network | $3 | 95% |
| Easy Choice Health Plan | $3 | 95% |
| For Your Benefit | $3 | 95% |
| Health Net | $3 - $12 | 95% |
| Healthcare Partners | $3 | 95% |
| Healthcare Partners Sr Hmo | $3 | 95% |
| Heritage | $3 | 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% |
| Kpc Healthcare Inc | $3 - $4 | 95% |
| Medcare Partners | $3 | 95% |
| Medi-Cal Hmo/Non Contract | $3 | 95% |
| Medicaid / KanCare | $3 | 95% |
| Monarch | $3 | 95% |
| Onecare | $3 | 95% |
| Onecare Connect | $3 | 95% |
| Other Senior Non Contract | $3 | 95% |
| Prime Health Srvs/Wc | $3 | 95% |
| Prospect Health Plan | $3 - $5 | 95% |
| Scan Health Plan | $3 | 95% |
| Self Pay Ab774/Cbo Use Only | $3 | 95% |
| UnitedHealthcare | $3 | 95% |
| Us Dept Of Labor | $3 | 95% |
| Us Federal Marshall/Department Of Immigration | $3 | 95% |
| Velocity Provider Network Sr | $3 | 95% |
| Verda Health Plan Sr | $3 | 95% |
| Veterans Administration | $3 | 95% |
| Victim Of Violent Crime | $3 | 95% |
| Victoria Hospice | $3 | 95% |
| Brand New Day | $4 | 126% |
| Choc Health Alliance | $4 | 126% |
| County Of Orange | $4 | 126% |
| County Of Orange/Custody/Advanced Medmgt | $4 | 126% |
| Coventry Wc | $4 | 126% |
| Family Choice | $4 | 126% |
| Heritage Provider Network | $4 - $10 | 126% |
| Monarch Health Plan | $4 | 126% |
| Multiplan | $4 - $12 | 126% |
| Prime Health Srvs | $4 - $14 | 126% |
| Staywell/Island Home Ins | $4 | 126% |
| Three Rivers | $4 | 126% |
| Velocity National Provider Network Wc | $4 | 126% |
| Veterans Evaluation Services | $4 | 126% |
| Workers Comp State Of California | $4 | 126% |
| Ihhi Reciprocity | $5 | 158% |
| Cigna | $6 - $11 | 189% |
| Three Rivers Network | $6 | 189% |
| Velocity National Provider Network Ppo | $6 | 189% |
| First Health | $9 | 284% |
| Aetna | $10 | 315% |
| Magellan | $10 | 315% |
| Networks By Design | $12 | 379% |
| Networks By Design Wc | $12 | 379% |
| Healthsmart | $13 | 410% |
| Prime Health | $13 | 410% |
| Pnoa-Provider Network Of America | $14 | 442% |
| Prime Health Srvs/Network | $14 | 442% |
| Lucet Behavioral Health Sr | $17 | 536% |
| Managed Health Network | $17 | 536% |
| Other Insurance Loa | $17 | 536% |
| Other Non Contracted Plans | $17 | 536% |
| Private Pay | $17 | 536% |
| Us Behavioral Health Plan | $17 | 536% |
| Vitas Hospice | $17 | 536% |