CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Saint Alphonsus Medical Center Ontario

Billing Code: 81001 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4
about 1.3× the $3 Medicare rate · typically $4–$6
modeled estimate · not a bill or quote
What this hospital charges insurers
$6
Above the fair price
about $2 over the fair price · 2.0× Medicare
Medicare pays $3 Fair price $4 This hospital $6 Cash price $16 Hospital's list price $25

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $3 Priciest $6

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Urinalysis (automated, with microscopy) is about $4 (about 1.3× the $3 Medicare rate). Saint Alphonsus Medical Center Ontario charges insurers about $6, or about $16 in cash — above the fair price. Located in Ontario, OR.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $4. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $3 - $24 95%
Blue Cross Blue Shieldmajor $3 - $21 95%
Aetnamajor $3 - $24 95%
Cignamajor $8 - $24 252%
Humanamajor $8 - $22 252%
Ambetter (Centene) $8 252%
Dean Health Plan $22 694%
GEHA $24 757%
Health Net $3 - $20 95%
HealthPartners $8 - $20 252%
Meridian $8 252%
Moda Health $6 - $24 189%
Molina $8 252%
PacificSource $15 - $24 473%
Paramount $8 - $22 252%
Presbyterian $8 252%
Priority Health $24 757%
SelectHealth $12 - $22 379%
Tufts Health Plan $8 252%
WellSense $8 252%
+ 93 smaller / regional plans $3 - $24
Government programs also on file: Medicare, Medicaid.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 351 Sw 9Th Street, Ontario, OR 97914
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals