Urinalysis at Gundersen Palmer Lutheran Hospital and Clinic. CPT 81001.
What Gundersen Palmer Lutheran Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$21.38cash price (self-pay)
$36.00list price
$1.05–$34.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $1.05 |
| Molina Health | Managed Medicaid | $1.05 |
| Wellmark | HMO | $5.62 |
| Wellmark | Indemnity/PPO | $6.17 |
| Alliance | Premier/All Products | $12.05 |
| Alliance | Comprehensive/All Products | $12.05 |
| Quartz | All Products | $15.23 |
| Quartz | All Other Self Funded | $15.84 |
| Quartz | Self Funded | $16.92 |
| Quartz | Level Funded | $17.46 |
| UHC | All Payer Appendix | $17.86 |
| Health Partners | Medicaid HMO | $18.00 |
| Wellmark | All Products | $18.36 |
| Aetna | Medicare Advantage | $18.72 |
| Amerigroup | Medicare Advantage | $18.72 |
| Health Partners | Medicare Advantage | $18.72 |
| Humana | Medicare Advantage | $18.72 |
| Iowa Total Care | Medicaid | $18.72 |
| Managed Health Service | Managed Medicaid | $18.72 |
| Quartz | Medicaid_Badgercare | $18.72 |
| Quartz | Medicare Advantage | $18.72 |
| UHC | Medicare Advantage | $18.72 |
| Wellmark | Medicare Advantage | $18.72 |
| Quartz | Fully Insured | $19.62 |
| UCARE | Non-Dually Eligible | $19.80 |
| UCARE | Dually Eligible | $19.80 |
| UCARE | MSHO/Minnesota Special Needs | $19.80 |
| Health Partners | Medicare Cost | $21.60 |
| Medical Associates | CAH Specific | $28.80 |
| Trilogy | All Products | $28.80 |
Inpatient
$21.38cash price (self-pay)
$36.00list price
$15.23–$34.92range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $21.20 |
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All common services at Gundersen Palmer Lutheran Hospital and Clinic