Urinalysis at Henry Ford Jackson Hospital. CPT 81001.
What Henry Ford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
—cash price (self-pay)
$53.00list price
$1.66–$47.70range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross Complete | $1.66 |
| HAP | HAP Caresource Medicaid | $1.66 |
| McLaren | Medicaid HMO | $1.66 |
| Meridian | Medicaid HMO | $1.66 |
| Priority Health | Medicaid HMO | $1.66 |
| Aetna Better Health | Medicaid HMO | $1.74 |
| Molina | Medicaid HMO | $1.79 |
| Humana Military | Tricare | $2.67 |
| Aetna | Medicare Advantage | $3.17 |
| Blue Cross | Medicare Plus Blue | $3.17 |
| Blue Cross | BCN Advantage | $3.17 |
| Cascade Thome Pace | All Products | $3.17 |
| Humana | Medicare Advantage | $3.17 |
| McLaren | Medicare Advantage | $3.17 |
| Molina | Dual MI Coordinated Health | $3.17 |
| Priority Health | Dual Premier_HIDE-SNP | $3.17 |
| Priority Health | Medicare Advantage | $3.17 |
| United Healthcare | VACCN | $3.17 |
| Veterans Evaluation Services | All Products | $3.17 |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $3.17 |
| HAP | Medicare Advantage | $3.20 |
| HAP | HAP Dual Products | $3.20 |
| Meridian | Ambetter From Meridian | $3.49 |
| HAP | Henry Ford Select -HPN commercial | $3.80 |
| HAP | Commercial | $4.21 |
| Bcn | HMO | $4.39 |
| Blue Cross | BCBSM Commercial | $4.39 |
| Blue Cross | BCN Commercial | $4.39 |
| Aetna | Commercial | $5.53 |
| Nomi | All Products | $6.18 |
Inpatient
—cash price (self-pay)
$53.00list price
$26.50–$47.70range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UHC Commercial | $39.06 |
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