CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Hillsboro Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $4
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Hillsboro Medical Center is $4. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.26x the Medicare baseline. Located in 335 Se 8Th Avenue, Hillsboro, OR.
Cash / Self-Pay
$50

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: $50 (1577%)
Insurance Median: $4 (126%)
Cash: $50 (1577% 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
Care Oregon $2 - $4 63%
Intercommunity Health Network $2 63%
Medicare (plans) $2 - $4 63%
Aetna $3 - $9 95%
Community Health Plan Of Washington $3 - $92 95%
Humana $3 95%
Kaiser Foundation Hospitals $3 - $9 95%
Moda $3 - $11 95%
Pacific Source $3 - $7 95%
Providence Health Plan $3 - $5 95%
Samaritan Health Plan $3 95%
Trillium $3 95%
UnitedHealthcare $3 - $5 95%
Health Net Health Plan Of Oregon, Inc. $4 - $61 126%
Cigna $8 252%
Blue Cross Blue Shield $10 315%
Tuality Health $41 - $60 1293%
First Choice $50 - $74 1577%
Coventry First Health $54 - $78 1703%
Molina Exchange $63 - $92 1987%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 335 Se 8Th Avenue, Hillsboro, OR 97123
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals