Urinalysis at San Gabriel Valley Medical Center. CPT 81001.
What San Gabriel Valley Medical Center publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$133cash price (self-pay)
$444list price
$2.22–$444range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AHMC Medi-Cal Reciprocity | AHMC Medi-Cal Reciprocity | $2.77 |
| Allied Physicians | Allied Physicians Medi-Cal | $2.77 |
| AltaMed Health Network | AltaMed Health Network Medi-Cal | $2.77 |
| Beverly Hospital | BEVERLY HOSPITAL MCL | $2.77 |
| Blue Cross Medi-Cal Managed Care | Blue Cross Healthy Families | $3.05 |
| United Healthcare Senior Medicare Advantage | United Healthcare Senior | $3.11 |
| Aetna Health of California | Aetna Senior | $3.11 |
| Alignment Health Plan | Alignment Health Plan | $3.11 |
| Allied Physicians | Allied Physicians Senior | $3.11 |
| AltaMed Health Network | AltaMed Health Network Senior | $3.11 |
| Anthem Blue Cross | Anthem Blue Cross Medicare Advantage | $3.11 |
| APA/ACO Inc | APA/ACO Inc | $3.11 |
| Avanti | Avanti Medicare | $3.11 |
| Beverly Hospital | BEVERLY HOSPITAL MCARE | $3.11 |
| AIDS Healthcare Foundation | AIDS Hlth Fndn/Positive Hlth Mcal | $3.17 |
| AIDS Healthcare Foundation | AIDS Hlth Fndn/Positive Hlth Mcare | $3.17 |
| Avanti | Avanti Medi-cal | $3.17 |
| Blue Cross Medi-Cal Managed Care | Blue Cross Medi-Cal | $3.32 |
| Beverly Hospital | BEVERLY HOSPITAL COMM/EPO | $3.49 |
| Athens Administrators | Athens Administrators AHMC WC | $3.80 |
| Avanti | Avanti Commercial | $3.80 |
| Avanti | Avanti Self-Funded EPO/PPO | $3.80 |
| Beech Street | Beech Street Workers Compensation | $3.80 |
| AHMC Health Self-Insurance EPO | AHMC Health EPO | $3.96 |
| Anthem Blue Cross | Anthem Blue Cross Covered California Exchange | $4.12 |
| Aetna Health of California | Aetna Covered CA | $4.60 |
| Allied Physicians | Allied Physicians Commercial | $4.75 |
| Aetna Health of California | Aetna | $5.48 |
| Anthem Blue Cross | Anthem Blue Cross Priority Select HMO | $13.58 |
| Anthem Blue Cross | Anthem Blue Cross Select HMO | $13.58 |
Inpatient
$133cash price (self-pay)
$444list price
$355–$444range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Beech Street | Beech Street PPO | $355 |
| MultiPlan | MultiPlan PPO | $400 |
| PPO Next | PPO Next | $400 |
| Other Non Contracted Commercial | Other Non Contracted Commercial | $444 |
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