Urinalysis at IU Health Jay Hospital. CPT 81001.
What IU Health Jay Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$8.50cash price (self-pay)
$19.00list price
$3.17–$18.53range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | PPO/POS | $3.17 |
| Cigna | HMO | $3.17 |
| Cigna | HMO - Open Access | $3.17 |
| SIHO Insurance Services | HMO/POS Plans | $3.17 |
| Cigna | PPO | $3.17 |
| SIHO Insurance Services | All PPO Plans | $3.17 |
| Aetna | POS - Cox Medical Plans | $3.17 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $3.17 |
| Cigna | HMO/POS - Arnett Hospital Plans | $3.17 |
| Aetna | HMO - Coventry Plans | $3.17 |
| Aetna | PPO - IN Preferred | $3.17 |
| Cigna | PPO - New Business | $3.17 |
| Caresource | All Managed Medicaid | $3.17 |
| Elevance Health | All Managed Medicaid | $3.17 |
| Elevance Health | All Government Medicaid HIP | $3.17 |
| Managed Health Services | All Government Medicaid | $3.17 |
| Caresource | All Government Medicaid HIP | $3.17 |
| Managed Health Services | All Government Medicaid HIP | $3.17 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $3.17 |
| United Healthcare | All Managed Medicaid | $3.17 |
| United Healthcare | All Managed Care | $3.17 |
| Elevance Health | All IUHP Employee Plans | $7.60 |
| Elevance Health | All PPO | $7.63 |
| Elevance Health | All HMO/POS | $7.63 |
| Elevance Health | All Traditional Plans | $8.08 |
| Self-Pay | Other - Self-Pay | $8.50 |
| Suburban Health Organization | PPO - Direct | $9.98 |
| Suburban Health Organization | PPO - Witham Health Services | $9.98 |
| Deaconess Health System | All Managed Care | $11.02 |
| Community Health Direct | HMO - LaPorte Regional Plans | $11.21 |
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