Urinalysis at Fairview Hospital. CPT 81001.
What Fairview Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$87.38cash price (self-pay)
$91.98list price
$2.80–$87.38range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | MCR Traditional Medicare | $19.13 |
| Medicare | MCRManaged Medicare HMO | $19.13 |
| Fallon | MCRManaged Fallon Medicare Advantage | $19.20 |
| Other Government | Tri Tricare | $19.21 |
| Fallon | MCRManaged Fallon Medicare SCO | $19.23 |
| Blue Cross | MCRManaged Blue Cross VT Medicare HMO | $19.36 |
| CommCare Alliance | MCRManaged CCA One Care | $19.44 |
| Hospice | Comm Hospice | $19.52 |
| Other Government | MCR Miscellaneous | $19.52 |
| Other Government | MCRManaged USA Family | $19.52 |
| Other Government | MCRManaged VA | $19.52 |
| United Healthcare | Oth United VACCN | $19.52 |
| Health New England | MCRManaged HNE Medicare Advantage | $19.71 |
| Point32Health | MCDManaged Tufts (Network) | $27.52 |
| Comm Fallon QHP | Comm Fallon QHP | $30.71 |
| Unicare | Comm Wellpoint (Unicare) | $33.94 |
| Aetna | Comm Aetna | $36.23 |
| Fallon | MCDManaged Fallon Medicaid ACO | $38.17 |
| Point32Health | Comm Tufts QHPSUB (Network) | $53.81 |
| Allways NHP | Comm NHP | $59.51 |
| United Healthcare | Comm United BH | $59.79 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $62.50 |
| Health New England | Comm HNE | $63.08 |
| Comm HNE HMO | Comm HNE HMO | $64.80 |
| Comm HNE PPO | Comm HNE PPO | $66.69 |
| Blue Cross | Comm Blue Cross VT PPO | $72.21 |
| Point32Health | Comm Tufts | $72.85 |
| United Healthcare | Comm UnitedHealthcare | $79.10 |
| Capital District Physicians' Health Plan | Comm CDPHP | $82.78 |
| Cigna | Comm Cigna Carelink | $82.78 |
Inpatient
$87.38cash price (self-pay)
$91.98list price
$51.97–$87.38range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point32Health | Comm Tufts QHPSUB (Network) | $51.97 |
| Point32Health | MCDManaged Tufts (Network) | $51.97 |
| Workers Comp | WC Workers Comp | $58.64 |
| Allways NHP | Comm NHP | $59.51 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $59.60 |
| United Healthcare | Comm United BH | $59.79 |
| Blue Cross | Comm Blue Cross VT PPO | $66.23 |
| Aetna | Comm Aetna | $69.44 |
| Point32Health | Comm Tufts | $72.85 |
| United Healthcare | Comm UnitedHealthcare | $79.10 |
| Capital District Physicians' Health Plan | Comm CDPHP | $82.78 |
| MVP | Comm MVP | $82.78 |
| Oxford | Comm Oxford | $82.78 |
| Connecticare | Comm Connecticare | $87.38 |
| Consolidated Health Plans | Comm Consolidated Health | $87.38 |
| First Health | Comm First Health | $87.38 |
| Point32Health | Comm Harvard | $87.38 |
| Other Commercial | Comm Other | $87.38 |
| PHCS | Comm PHCS | $87.38 |
| Self Pay | Comm Self Pay | $87.38 |
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