Urinalysis at Jacksonville Memorial Hospital. CPT 81001.
What Jacksonville Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$161cash price (self-pay)
$161list price
$0.23–$161range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Illinois Medicaid | $4.78 |
| Molina HealthCare | Molina Medicaid | $4.78 |
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $13.21 |
| Coventry | Coventry Advantra Medicare Advantage HMO | $14.17 |
| Health Alliance | Health Alliance Medicare Advantage | $14.17 |
| Humana | Humana/ChoiceCare Medicare Advantage PPO/HMO | $14.17 |
| Medicare | Medicare | $14.17 |
| United HealthCare | United HealthCare Medicare Advantage | $14.88 |
| Tricare | Tricare | $16.21 |
| Commercial Workers Compensation | Commercial Workers Compensation | $23.96 |
| WellCare Medicare Advantage PPO | WellCare Medicare Advantage PPO | $25.24 |
| UHC Va Ccn | UHC Va Ccn | $25.76 |
| Corvel/CorCare | Corvel/CorCare | $32.52 |
| Illinois Workers Compensation | Illinois Workers Compensation | $36.78 |
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $74.06 |
| 6 Degrees Health | 6 Degrees Health | $96.60 |
| Hope Trust | Hope Trust | $96.60 |
| Hst | Hst | $96.60 |
| Health Alliance | Health Alliance Fully Insured/Self Funded/ACA | $109 |
| Cigna | Cigna | $112 |
| United Healthcare | United Healthcare PPO | $116 |
| Aetna | Aetna PPO | $121 |
| Current Health Network | Current Health Network | $121 |
| Healthlink | Healthlink HMO | $137 |
| Humana/ChoiceCare | Humana/ChoiceCare | $137 |
| PHCS/Multiplan | PHCS/Multiplan PPO | $145 |
| Hfn | Hfn PPO | $153 |
| HFN | HFN Workers Compensation | $153 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $161 |
| Liability | Liability | $161 |
Inpatient
$161cash price (self-pay)
$161list price
$74.06–$161range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $74.06 |
| Current Health Network | Current Health Network | $88.55 |
| 6 Degrees Health | 6 Degrees Health | $96.60 |
| Hope Trust | Hope Trust | $96.60 |
| Hst | Hst | $96.60 |
| Cigna | Cigna | $112 |
| Aetna | Aetna PPO | $113 |
| Humana/ChoiceCare | Humana/ChoiceCare | $137 |
| Hfn | Hfn PPO | $153 |
| HFN | HFN Workers Compensation | $153 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $161 |
| Liability | Liability | $161 |
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