Urinalysis at Jacobson Memorial Hospital Care Center. CPT 81001.
What Jacobson Memorial Hospital Care Center publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$16.50cash price (self-pay)
$22.00list price
$13.20–$30.80range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $13.20 |
| North Dakota Medicaid | Medicaid | $15.75 |
| TriCare | VA | $16.50 |
| United Healthcare | Commercial | $16.76 |
| Medica | Commercial | $17.60 |
| TLC Advantage | Commercial | $17.60 |
| Cigna | Commercial | $19.80 |
| Healthpartners | Commercial | $19.80 |
| Healthpartners Medicare Advantage | Medicare Replacement | $19.80 |
| Multiplan Commercial | Commercial | $19.80 |
| Aetna | Medicare Replacement | $22.00 |
| North Dakota BCBS | Commercial | $22.00 |
| Humana Medicare | Medicare Replacement | $22.00 |
| Medica Medicare | Medicare Replacement | $22.00 |
| Multiplan Medicare | Medicare Replacement | $22.00 |
| NextBlue | Medicare Replacement | $22.00 |
| Sanford Health Plan | Commercial | $22.00 |
| United Healthcare | Medicare Replacement | $22.00 |
| Noridian Medicare | Medicare | $26.40 |
| North Dakota BCBS Medicaid Expansion | Medicaid Expansion | $30.80 |
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All common services at Jacobson Memorial Hospital Care Center