Urinalysis at IU Health White Memorial Hospital. CPT 81001.
What IU Health White Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$5.92cash price (self-pay)
$19.00list price
$2.84–$17.48range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elevance Health | All PPO | $2.84 |
| Elevance Health | All Traditional Plans | $2.84 |
| Elevance Health | All HMO/POS | $2.84 |
| Managed Health Services | All Government Medicaid | $3.17 |
| United Healthcare | All Managed Medicaid | $3.17 |
| Elevance Health | All Managed Medicaid | $3.17 |
| Managed Health Services | All Government Medicaid HIP | $3.17 |
| Caresource | All Government Medicaid HIP | $3.17 |
| Cigna | PPO | $3.17 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $3.17 |
| Cigna | HMO - Open Access | $3.17 |
| Cigna | HMO/POS - Arnett Hospital Plans | $3.17 |
| Aetna | POS - Cox Medical Plans | $3.17 |
| SIHO Insurance Services | HMO/POS Plans | $3.17 |
| Cigna | HMO | $3.17 |
| SIHO Insurance Services | All PPO Plans | $3.17 |
| Elevance Health | All Government Medicaid HIP | $3.17 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $3.17 |
| SIHO Insurance Services | PPO - Union Health | $3.17 |
| Caresource | All Managed Medicaid | $3.17 |
| Aetna | PPO/POS | $3.17 |
| Aetna | HMO - Coventry Plans | $3.17 |
| Aetna | PPO - IN Preferred | $3.17 |
| United Healthcare | All Managed Care | $3.17 |
| Self-Pay | Other - Self-Pay | $5.92 |
| Encore Health Network | PPO | $7.03 |
| Elevance Health | All IUHP Employee Plans | $7.60 |
| Indiana Health Network (IHN) | All Managed Care | $9.89 |
| Suburban Health Organization | PPO - Witham Health Services | $9.98 |
| Aetna | PPO - First Health | $11.02 |
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