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Urinalysis at Memorial Hospital of South Bend. CPT 81001.

What Memorial Hospital of South Bend publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$33.80cash price (self-pay)
$52.00list price
$1.70–$52.00range insurers pay
Insurance planNegotiated rate
McLaren | MI Medicaid$1.70
UHC | MI Medicaid$1.70
Anthem | Exchange$3.17
Anthem | IN Medicaid HCC$3.17
Anthem | IN Medicaid HHW$3.17
Anthem | IN Medicaid HIP$3.17
Anthem | Medicare Advantage$3.17
Anthem | Pathways for Aging$3.17
Caresource | IN Medicaid HHW$3.17
Caresource | IN Medicaid HIP$3.17
Humana | Medicare Advantage$3.17
Humana | Pathways for Aging$3.17
MHS | IN Medicaid HCC$3.17
MHS | IN Medicaid HHW$3.17
MHS | IN Medicaid HIP$3.17
MdWise | IN Medicaid HHW$3.17
MdWise | IN Medicaid HIP$3.17
PACE | Medicare$3.17
UHC | IN Medicaid HCC$3.17
Anthem | Commercial (Granger)$4.54
Caresource | Exchange$5.07
Anthem | Workers Compensation$6.02
Devoted Healthcare | Medicare Advantage$10.40
Anthem | Commercial (excludes Granger)$10.46
Anthem | HealthSync$10.46
Aetna | Medicare Advantage$23.40
CHA | Employer Group 4$31.20
Immergrun | Commercial$31.20
MHS | Exchange$33.80
Cigna | OAP$36.40

Inpatient

$33.80cash price (self-pay)
$52.00list price
$10.40–$42.64range insurers pay
Insurance planNegotiated rate
Devoted Healthcare | Medicare Advantage$10.40
Multiplan | Commercial$33.80
Cigna | OAP$36.40
UHC | Commercial$37.54
Humana | Commercial$37.96
Aetna | Commercial$38.27
CHA | Employer Group 5$39.00
CHA | Employer Group 6$41.60
Cigna BH | Commercial$41.60
Immergrun | Commercial$41.60
Plain Church | Commercial$41.60
Cigna | PPO$42.64
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All common services at Memorial Hospital of South Bend