Urinalysis at Banner Goldfield Medical Center. CPT 81001.
What Banner Goldfield Medical Center publishes for this service, straight from its standard-charges file, last updated September 23, 2026.
Outpatient / ER
$21.48cash price (self-pay)
$91.00list price
$3.17–$68.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Banner Health | Medicare Advantage | $3.17 |
| Aetna | Medicare Advantage | $3.17 |
| Arizona Physicians IPA | Medicaid | $3.17 |
| Arizona Physicians IPA | Medicare Advantage | $3.17 |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $3.17 |
| Banner University Health Plan | University Care Advantage | $3.17 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $3.17 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $3.17 |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $3.17 |
| Gila River Health Care Corporation | Managed Care Program | $3.17 |
| Health Choice Arizona, Inc. | Medicare Advantage | $3.17 |
| Health Choice Arizona, Inc. | Medicaid | $3.17 |
| Health Net | Medicaid | $3.17 |
| Health Net | Medicare | $3.17 |
| Kaiser Foundation Health Plan | Medicare Advantage | $3.17 |
| Mercy Care | Mercy Care Advantage | $3.17 |
| Mercy Care | Mercy Medicaid | $3.17 |
| Humana | Medicare Advantage | $3.27 |
| Carekin | Medicare Advantage | $3.33 |
| Devoted Health Services | Medicare Advantage | $3.33 |
| Arizona Priority Care | Medicare Advantage | $3.49 |
| Gold Kidney Health Plan | Medicare Advantage | $3.49 |
| Health Choice Arizona, Inc. | ACA Health Plan | $4.75 |
| Oscar Health Plan | Commercial | $4.75 |
| Health Net | Commerical Exchange Product | $4.79 |
| Cigna Healthcare of Arizona, Inc. | LocalFlex | $6.21 |
| Cigna Healthcare of Arizona, Inc. | Commercial | $6.90 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $6.92 |
| Blue Cross Blue Shield of Arizona | BCBSAZ Alliance/Blue HPN | $7.39 |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $7.75 |
Inpatient
$21.48cash price (self-pay)
$91.00list price
$40.95–$68.25range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Ins | $40.95 |
| Plotkin Health | Plotkin Health | $40.95 |
| Aetna | Medical Rental | $46.68 |
| Quiktrip Corporation | Commercial | $48.69 |
| Provider Network of America | Commercial | $68.25 |
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