Urinalysis at Maple Grove Hospital. CPT 81001.
What Maple Grove Hospital publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$14.76cash price (self-pay)
$28.00list price
$2.40–$22.40range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica [1086] | Mgh Medica Msho | $2.40 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Federal | $3.17 |
| Blue Cross [1021] | Mgh BCBS Msho | $3.17 |
| Humana [2203] | Mgh Humana Med Adv | $3.17 |
| Medicare [1088] | Mgh Medicare | $3.17 |
| Health Partners [1061] | Mgh Hp Med Adv | $3.18 |
| Medica [1086] | Medica Choice Care | $3.19 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Aware | $3.23 |
| Blue Cross [1021] | Mgh BCBS Pmap | $3.23 |
| Ucare [1148] | Mgh Ucare Med Adv | $3.27 |
| Blue Cross [1021] | Mgh BCBS Med Adv | $3.27 |
| Medica [1086] | Mgh Medica Med Adv | $3.27 |
| Ucare [1148] | Mgh Ucare Msho | $3.27 |
| United Healthcare [2204] | Mgh UHC Med Adv | $3.30 |
| Allina Health-Aetna [2201] | Mgh Allina Health Aetna Medicare | $3.44 |
| Medicaid [1087] | Mgh Medicaid Mn | $3.48 |
| Medica [1086] | Medica Acclaim | $5.05 |
| Medica [1086] | Medica Fv Nm - Aco Vantage | $5.18 |
| MEDICA [1086] | MEDICA COMMERCIAL (With WH) | $5.57 |
| Health Partners [1061] | Mgh Hp Govt Msho | $5.62 |
| Ucare [1148] | Mgh Ucare Ifb | $5.71 |
| Health Partners [1061] | Mgh Hp Federal | $8.55 |
| Health Partners [1061] | Mgh Hp Comm | $8.55 |
| Cigna Health Partners [1242] | Mgh Hp Cigna | $9.06 |
| America'S PPO [1010] | America'S PPO Healthez Reimbursement Contract | $18.95 |
| America'S PPO [1010] | America'S PPO Reimbursement Contract | $20.16 |
| AETNA [2200] | Aetna Commercial/First Health | $21.00 |
| Phcs [1172] | Phcs Reimbursement Contract | $21.00 |
| Multiplan [1176] | Multiplan Reimbursement Contract | $22.40 |
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