Urinalysis at Good Samaritan Hospital. CPT 81001.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$1,073cash price (self-pay)
$1,073list price
$3.17–$1,073range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $3.17 |
| Aetna | MCRHMO | $3.17 |
| Aetna | MCRPOS | $3.17 |
| Aetna | MCRPPO | $3.17 |
| Affinity Medical Group | MCR | $3.17 |
| Alignment Health Plan | MGMCR | $3.17 |
| Anthem | MCR | $3.17 |
| Central Health Plan | MCR | $3.17 |
| Clever Care of Golden State | MCR | $3.17 |
| Easy Choice Health Plan | MCR | $3.17 |
| Humana | MCR | $3.17 |
| On Lok Senior Health | MCR | $3.17 |
| Blue Shield | MCRHMO | $3.23 |
| Blue Shield | MCRPOS | $3.23 |
| Blue Shield | MCRPPO | $3.23 |
| Blue Shield | MCRSNP | $3.23 |
| Blue Shield | PFFS | $3.23 |
| Care1st Health Plan | MCR | $3.23 |
| Astiva Health | MGMCR | $3.49 |
| Imperial Insurance | MCR | $3.49 |
| CorVel Corporation | WORKERSCOMP | $3.70 |
| Blue Shield | TRICARE | $3.71 |
| Health Net | Tricare | $3.71 |
| Anthem | Medi-Cal | $3.94 |
| Affinity Medical Group Comm | COMM | $4.12 |
| Affinity Medical Group Comm | POS | $4.12 |
| Canopy | COMM | $5.71 |
| Blue Shield | COMM | $6.25 |
| Blue Shield | EPN | $6.25 |
| Bright Health | COMM | $6.34 |
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