Urinalysis at Dominican Hospital. CPT 81001.
What Dominican Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$49.50cash price (self-pay)
$275list price
$3.17–$373range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield CA | Medicare|All Plans | $3.17 |
| Health Net | Medicare|All Plans | $3.17 |
| Kaiser | Medicare|All Plans | $3.17 |
| United | Medicare|All Plans | $3.17 |
| Blue Shield CA | Commercial|DHMF | $3.61 |
| United | Commercial|All Other Plans | $3.80 |
| United | Commercial|HMO | $3.80 |
| United | Commercial|Non-Options PPO | $3.80 |
| United | Commercial|Options PPO | $3.80 |
| BCBS - Anthem | Medicaid|All Plans | $3.97 |
| COSC Psych | Medicaid|All Plans | $3.97 |
| Central California Alliance for Health | Medicaid|All Plans | $3.97 |
| Health Net | Medicaid|< 21 | $6.00 |
| Health Net | Medicaid|> 21 | $6.00 |
| Sutter Health | Commercial|All Plans | $9.92 |
| Cigna | Commercial|LocalPlus | $28.38 |
| Cigna | Commercial|All Other Plans | $30.19 |
| Aetna | Commercial|HMO | $33.40 |
| Aetna | Commercial|PPO | $33.40 |
| BCBS - Anthem | Commercial|All Other Plans | $47.99 |
| BCBS - Anthem | Commercial|MCS | $67.06 |
| Blue Shield CA | Commercial|ACO Trio | $126 |
| Blue Shield CA | Commercial|Exchange | $126 |
| Blue Shield CA | Commercial|All Other Plans | $154 |
| Kaiser | Commercial|All Plans | $178 |
| Western Growers | Commercial|All Plans | $192 |
| Healthsmart | Commercial|All Plans | $220 |
| First Health | Commercial|All Plans | $233 |
| Multiplan | Commercial|All Plans | $233 |
Inpatient
$49.50cash price (self-pay)
$275list price
$88.00–$373range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthsmart | Commercial|All Plans | $220 |
| First Health | Commercial|All Plans | $233 |
| Multiplan | Commercial|All Plans | $233 |
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