Urinalysis at St. Luke's Boise Standard Charges. CPT 81001.
What St. Luke's Boise Standard Charges publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$14.00cash price (self-pay)
$14.00list price
$3.17–$12.60range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Tv Slhp St Lukes | $3.17 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Carepoint Qhp | $3.17 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Large Group | $3.17 |
| Commercial [1028] | Hb Tv Slhp Mountain Health Coop | $3.17 |
| Commercial [1028] | Hb Tv Slhp Select Health | $3.17 |
| Commercial [1028] | Hb Tv Slhp Select Health Qhp | $3.17 |
| Commercial [1028] | Hb Tv Va Ccn | $3.17 |
| Medicare Advantage Generic [1019] | Hb Tv Medicare Advantage | $3.17 |
| Medicare Advantage Generic [1019] | Hb Tv Molina Mmcp | $3.17 |
| Medicare Advantage Molina [1053] | Hb Tv Molina Mmcp | $3.17 |
| Medicare Advantage Pacificsource [1039] | Hb Tv Pacificsource HMO PPO | $3.17 |
| Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med | $3.17 |
| Medicare Advantage Regence [1016] | Hb Tv Medicare Advantage | $3.17 |
| Blue Cross/Medicare Advantage [1009] | Hb Tv Bci True & Secure Med Adv | $3.20 |
| Medicare Advantage Generic [1019] | Hb Tv Molina Med Adv | $3.23 |
| Medicare Advantage Molina [1053] | Hb Tv Molina Med Adv | $3.23 |
| Medicare Advantage Aetna [1017] | Hb Tv Aetna Med Adv | $3.49 |
| Blue Cross Out Of State [1041] | Hb Tv Bci Out Of State | $7.13 |
| Blue Shield Alt [100401] | Hb Tv Regence Out Of State | $7.13 |
| Commercial [1028] | Hb Tv Regence PPO & Traditional | $7.13 |
| Commercial [1028] | Hb Tv H2b | $10.50 |
| H2b [1068] | Hb Tv H2b | $10.50 |
| Aetna [1021] | Hb Tv Bp Aetna | $11.20 |
| Cigna [1062] | Hb Tv Cigna | $11.20 |
| Commercial [1028] | Hb Tv Bp Aetna | $11.20 |
| Commercial [1028] | Hb Tv Cigna | $11.20 |
| Commercial [1028] | Hb Tv Multiplan Primary Network | $11.20 |
| Commercial [1028] | Hb Tv United Healthcare | $11.48 |
| Geha [1065] | Hb Tv United Healthcare | $11.48 |
| Commercial [1028] | Hb Tv Ccn First Health | $11.55 |
Inpatient
$24.00cash price (self-pay)
$24.00list price
$15.60–$21.60range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Slplan Tap Mc St Lukes Health Plan [1641000001] | Hb Tv Slhp St Lukes | $15.60 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Carepoint Qhp | $15.60 |
| Blue Cross Idaho [1007] | Hb Tv Slhp Blue Cross Large Group | $15.60 |
| Commercial [1028] | Hb Tv Slhp Mountain Health Coop | $15.60 |
| Commercial [1028] | Hb Tv Slhp Select Health | $15.60 |
| Commercial [1028] | Hb Tv Slhp Select Health Qhp | $15.60 |
| Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med | $15.60 |
| Mountain Health Co-Op [1067] | Hb Tv Slhp Mountain Health Coop | $15.60 |
| Pacificsource [1020] | Hb Tv Pacificsource Navigator Large Group | $15.60 |
| Pacificsource [1020] | Hb Tv Slhp Pacificsource Navigator Qhp | $15.60 |
| Select Health [1063] | Hb Tv Slhp Select Health | $15.60 |
| Select Health [1063] | Hb Tv Slhp Select Health Qhp | $15.60 |
| St Lukes Health Plan [1046] | Hb Tv Slhp St Lukes Health Plan Large Gr | $15.60 |
| St Lukes Health Plan [1046] | Hb Tv Slhp St Lukes Health Plan Qhp | $15.60 |
| Commercial [1028] | Hb Tv H2b | $18.00 |
| H2b [1068] | Hb Tv H2b | $18.00 |
| Pacificsource [1020] | Hb Tv Pacificsource PPO Voyager | $18.00 |
| Aetna [1021] | Hb Tv Bp Aetna | $19.20 |
| Cigna [1062] | Hb Tv Cigna | $19.20 |
| Commercial [1028] | Hb Tv Bp Aetna | $19.20 |
| Commercial [1028] | Hb Tv Cigna | $19.20 |
| Commercial [1028] | Hb Tv Multiplan Primary Network | $19.20 |
| Commercial [1028] | Hb Tv Va Ccn | $19.20 |
| Providence [1022] | Hb Tv Cigna | $19.20 |
| Commercial [1028] | Hb Tv United Healthcare | $19.68 |
| Geha [1065] | Hb Tv United Healthcare | $19.68 |
| United Healthcare [1025] | Hb Tv United Healthcare | $19.68 |
| United Medical Resources [1051] | Hb Tv United Healthcare | $19.68 |
| Commercial [1028] | Hb Tv Ccn First Health | $19.80 |
| First Health [1064] | Hb Tv Ccn First Health | $19.80 |
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