CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Casa Colina Hospital

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $4
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Casa Colina Hospital is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$4

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: $4 (126%)
Insurance Median: $4 (126%)
Cash: $4 (126% 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.

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
Aetna $3 - $7 95%
Blue Cross Blue Shield $3 - $11 95%
Blue Shield Mcr Adv $3 95%
Caremore Mcr Adv - All Plans $3 95%
Central Hlth Plan - All Plans $3 95%
Doctors Managed Op Only - All Plans $3 95%
Empire Healthcare Op Only - All Plans $3 95%
Epic Comm - All Other Plans $3 95%
Epic Mcr Adv $3 95%
Focus Healthcare Wc - All Plans $3 95%
Healthnet Mcr Adv $3 95%
Heritage Prvdr Ntwrk Mcal $3 95%
Humana $3 - $10 95%
Iehp - All Other Plans $3 95%
Iehp Mcr Adv $3 95%
Kaiser Comm - All Other Plans $3 95%
Kaiser Mcr Adv $3 95%
Premiercare Op Only - All Plans $3 95%
Promed Hlth Ntwrk Op Only - All Plans $3 95%
Prospect Hp Comm - All Other Plans $3 95%
Prospect Hp Mcal $3 95%
Prospect Hp Mcr Adv $3 95%
Triwest - All Plans $3 95%
UnitedHealthcare $3 95%
Wellcare Mcr Adv - All Plans $3 95%
Affiliated Hlth Funds - All Plans $4 126%
Healthnet Comm - All Other Plans $4 - $8 126%
Heritage Prvdr Ntwrk Comm - All Other Plans $4 - $8 126%
Heritage Prvdr Ntwrk Mcr $4 - $8 126%
Kaiser Mcal $4 126%
Medi-Cal $4 126%
Cigna $5 158%
Corvel - All Plans $5 - $10 158%
Coventry - All Plans $5 - $10 158%
Multiplan - All Plans $5 - $10 158%
Three Rivers - All Plans $5 - $10 158%
Brand New Day Mcr Adv - All Plans $6 - $11 189%
Galaxy Provdr Ntwrk - All Plans $7 - $13 221%
Healthcare Partners - All Other Plans $8 - $15 252%
Healthcare Partners Mcr $8 - $15 252%
Primecare Comm - All Other Plans $8 - $15 252%
Primecare Mcr Adv $8 - $15 252%
Prospect Med Grp Alta - All Plans $8 - $16 252%
Iehp Mcal $9 284%
Blue Shield Comm - All Other Plans $14 442%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals