Urinalysis at CHI Health St. Elizabeth. CPT 81001.

What CHI Health St. Elizabeth publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$67.00cash price (self-pay)

$138list price

$3.07–$120range insurers pay

Insurance plan	Negotiated rate
Amerigroup \| Medicaid\|All Plans	$3.07
Centene \| Medicaid\|IA Total Care	$3.07
IAMolina \| Medicaid\|All Plans	$3.13
BCBS - NE \| Medicare\|All Plans	$3.17
Great Plains \| Medicare\|All Plans	$3.17
Humana \| Medicare\|All Plans	$3.17
Medica \| Medicare\|All Plans	$3.17
United \| Medicare\|All Plans	$3.17
Centene \| Medicare\|All Plans	$3.27
Amerigroup \| Medicare\|All Plans	$3.33
United \| Commercial\|All Plans	$4.03
Creighton University Employees \| Commercial\|All Plans	$4.21
Medica \| Commercial\|ACO	$6.30
Medica \| Commercial\|CHI Health	$6.52
Medica \| Commercial\|All Other Plans	$6.83
AMPS \| Commercial\|All Plans	$7.04
Greater Omaha Packing \| Commercial\|Narrow Network	$25.66
Millard Public Schools \| Commercial\|Narrow Network	$25.66
One World \| Commercial\|Narrow Network	$25.66
Greater Omaha Packing \| Commercial\|Broad Network	$29.51
Millard Public Schools \| Commercial\|Broad Network	$29.51
One World \| Commercial\|Broad Network	$29.51
Timpte \| Commercial\|Broad Network	$29.51
United \| Medicaid\|Community Plan	$31.62
Centene \| Medicaid\|NE Total Care	$31.95
ELAP \| Commercial\|All Plans	$78.38
Medica \| Commercial\|Open Access	$85.25
Midlands Choice \| Commercial\|Premier	$85.25
Midlands Choice \| Commercial\|Standard	$94.88
MultiPlan PHCS \| Commercial\|All Plans	$117

$67.00cash price (self-pay)

$138list price

$83.08–$113range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|Open Access	$85.25
Midlands Choice \| Commercial\|Premier	$85.25
MultiPlan PHCS \| Commercial\|All Plans	$110

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