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Urinalysis at Tj Health Samson Community Hospital. CPT 81001.

What Tj Health Samson Community Hospital publishes for this service, straight from its standard-charges file, last updated April 23, 2026.

Outpatient / ER

$26.65cash price (self-pay)
$41.00list price
$1.30–$42.23range insurers pay
Insurance planNegotiated rate
Caresource - All Plans | Caresource - All Plans$1.30
Blue Cross HMO | Blue Cross HMO$2.69
Blue Cross Path HMO | Blue Cross Path HMO$2.69
Blue Cross Path Hpn/PPO | Blue Cross Path Hpn/PPO$2.69
Blue Cross Trad - All Other Plans | Blue Cross Trad - All Other Plans$2.69
Blue Cross PPO | Blue Cross PPO$2.69
Wellcare Mcaid | Wellcare Mcaid$3.11
Blue Cross Mcr Adv | Blue Cross Mcr Adv$3.17
Humana Mcr Adv - All Other Plans | Humana Mcr Adv - All Other Plans$3.17
Wellcare Mcr Adv - All Other Plans | Wellcare Mcr Adv - All Other Plan$3.17
Signature Health - All Plans | Signature Health - All Plans$3.20
Molina Mcr Adv | Molina Mcr Adv$3.23
Devoted Mcr Adv - All Plans | Devoted Mcr Adv - All Plans$3.33
Molina Marketplace - All Other Plans | Molina Marketplace - All Other $4.76
UHC All Payer - All Plans | UHC All Payer - All Plans$20.50
Blue Cross Mcr Select | Blue Cross Mcr Select$34.85
Center Care Select - All Plans | Center Care Select - All Plans$34.85
Phcs/Multiplan - All Plans | Phcs/Multiplan - All Plans$38.54
First Health - All Plans | First Health - All Plans$38.95
Humana Mcaid | Humana Mcaid$41.00
Aetna Better Health Mcaid - All Plans | Aetna Better Health Mcaid - Al$41.00
Molina Mcaid | Molina Mcaid$42.23
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All common services at Tj Health Samson Community Hospital