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Urinalysis at Henry Ford Providence Southfield Hospital. CPT 81001.

What Henry Ford Providence Southfield Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$12.32cash price (self-pay)
$22.00list price
$1.84–$5.68range insurers pay
Insurance planNegotiated rate
Blue Caid Michigan | 1266_sjpk,Sjpr Medicaid Replacement Blue Caid Of $1.84
Great Lakes- UHC Community Plan | 1247_sjpk,Sjpr Medicaid Replacement $1.84
Harbor Health Mcd | 1243_sjpr Medicaid Repleacement Harbor Health Outp$1.84
Health Plan Of Mi Medicaid HMO | 1262_sjpk,Sjpr Medicaid Replacement M$1.84
Jvhl - Medicaid Replacement | 1245_sjpk,Sjpr Medicaid Replacement HMO $1.84
Medicaid | 1263_sjpk,Sjpr Mi Medicaid Outpatient 20250101$1.84
Medicaid Replacement | 1242_sjpr Medicaid HMO Outpatient 20250101$1.84
Molina Health | 1264_sjpk,Sjpr Medicaid Replacement Molina Health Outp$1.84
Omnicare Medicaid HMO | 1244_sjpr Medicaid Repleacement Omnicare Outpa$1.84
Total Health Care | 1246_sjpk,Sjpr Medicaid Replacement Total Health C$1.84
Amerihealth Vip Care Mcr | 1254_sjpk,Sjpr Medicare Advantage Ameriheal$2.73
Blue Cross PPO | 1137_sjpr Blue Cross Blue Shield PPO 20220401$3.09
Bc Metro Detroit EPO | 1127_sjpr Blue Cross Blue Shield Metro Detroit $3.09
Bc Metro Detroit HMO | 1133_sjpr Blue Cross Blue Shield Metro Detroit $3.09
Bcn Local Network Southeast | 1131_sjpr Blue Cross Blue Shield Bcn Loc$3.09
Blue Care Network | 1129_sjpr Blue Cross Blue Shield Bcn 20220401$3.09
Blue Cross Traditional | 1135_sjpr Blue Cross Blue Shield Of Michigan $3.09
Aetna Medicare | 1255_sjpk,Sjpr Medicare Advantage Aetna Outpatient 20$3.17
Auto Insurance | 1257_sjpk,Sjpr Auto Insurance Outpatient 20250101$3.17
Jvhl - Mcr Replacement | 1251_sjpk,Sjpr Medicare Advantage Jvhl Outpat$3.17
Mcr Replacement | 1253_sjpk,Sjpr Medicare Advantage HMO Outpatient 202$3.17
Veterans Choice | 1256_va Optum Health Outpatient 20250101$3.17
Humana Mcr | 1252_sjpk,Sjpr Medicare Advantage Humana Outpatient 20250$3.20
Meridian Wellcare | 1250_sjpk,Sjpr Medicare Advantage Meridian Wellcar$3.33
Molina Advantage | 1249_sjpk,Sjpr Medicare Advantage Molina Outpatient$3.33
Aetna | 1203_sjpk,Sjpr Aetna PPO 20241001$3.76
Meridian Ambetter | 1258_sjpk,Sjpr Meridian Ambetter Outpatient 202501$3.96
Molina Marketplace | 1259_sjpk,Sjpr Molina Marketplace Outpatient 2025$3.96
Priority PPO | 1105_sjpk,Sjpr Priority PPO 20210801$4.35
Smart Health | 1261_sjpk,Sjpr Smart Health Outpatient 20250101$4.37

Inpatient

$12.32cash price (self-pay)
$22.00list price
$1.84–$5.68range insurers pay
Insurance planNegotiated rate
Smarthealth Non Assigned | 1074_sjpk,Sjpr Smart Health Non Assigned 20$2.31
Amerihealth Vip Care Mcr | 1174_sjpk,Sjpr Medicare Advantage Ameriheal$3.14
Aetna Medicare | 1171_sjpk,Sjpr Medicare Advantage Aetna Inpatient 202$3.17
Auto Insurance | 1219_sjpk,Sjpr Auto Insurance Inpatient 20241001$3.17
Health Plan Of Mi Medicaid HMO | 1083_sjpk,Sjpr Meridian Health Inpati$3.17
Jvhl - Mcr Replacement | 1180_sjpk,Sjpr Medicare Advantage Jvhl Inpati$3.17
Jvhl - Medicaid Replacement | 1079_sjpk,Sjpr Medicaid HMO Jvhl Inpatie$3.17
Mcr Replacement | 1183_sjpk,Sjpr Medicare Advantage HMO Inpatient 2024$3.17
Veterans Choice | 1230_va Optum Health Inpatient 20241001$3.17
Humana Mcr | 1177_sjpk,Sjpr Medicare Advantage Humana Inpatient 202410$3.20
Meridian Wellcare | 1189_sjpk,Sjpr Medicare Advantage Meridian Wellcar$3.33
Molina Advantage | 1192_sjpk,Sjpr Medicare Advantage Molina Inpatient $3.33
Meridian Ambetter | 1221_sjpk,Sjpr Meridian Ambetter Inpatient 2024100$3.96
Molina Marketplace | 1223_sjpk,Sjpr Molina Marketplace Inpatient 20241$3.96
Smart Health | 1227_sjpk,Sjpr Smart Health Inpatient 20241001$4.37
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All common services at Henry Ford Providence Southfield Hospital