Urinalysis at CHI Health St. Mary's. CPT 81001.
What CHI Health St. Mary's publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$8.30cash price (self-pay)
$22.00list price
$2.15–$116range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Medicare|All Plans | $3.17 |
| Humana | Medicare|All Plans | $3.17 |
| Medica | Medicare|All Plans | $3.17 |
| PACE | Medicare|All Plans | $3.17 |
| United | Medicare|All Plans | $3.17 |
| Centene | Medicare|All Plans | $3.23 |
| Amerigroup | Medicare|All Plans | $3.33 |
| Great Plains | Medicare|All Plans | $3.33 |
| Amerigroup | Medicaid|All Plans | $4.72 |
| IAMolina | Medicaid|All Plans | $4.81 |
| AMPS | Commercial|All Plans | $7.04 |
| Centene | Medicaid|NE Total Care | $9.02 |
| United | Medicaid|Community Plan | $9.02 |
| Medica | Commercial|All Other Plans | $20.02 |
| Medica | Commercial|CHI Health | $20.02 |
| BCBS - NE | Commercial|BluePrint | $20.84 |
| MultiPlan PHCS | Commercial|All Plans | $20.90 |
| Greater Omaha Packing | Commercial|Broad Network | $21.12 |
| Greater Omaha Packing | Commercial|Narrow Network | $21.12 |
| Medica | Commercial|ACO | $21.12 |
| Medica | Commercial|Open Access | $21.12 |
| Midlands Choice | Commercial|Premier | $21.12 |
| Midlands Choice | Commercial|Standard | $21.12 |
| Millard Public Schools | Commercial|Broad Network | $21.12 |
| Millard Public Schools | Commercial|Narrow Network | $21.12 |
| One World | Commercial|Broad Network | $21.12 |
| One World | Commercial|Narrow Network | $21.12 |
| Timpte | Commercial|Broad Network | $21.12 |
| United | Commercial|All Plans | $21.12 |
| BCBS - NE | Commercial|All Other Plans | $21.94 |
Inpatient
$8.30cash price (self-pay)
$22.00list price
$9.03–$116range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $19.86 |
| Medica | Commercial|All Other Plans | $20.02 |
| Medica | Commercial|CHI Health | $20.02 |
| BCBS - NE | Commercial|All Other Plans | $20.90 |
| MultiPlan PHCS | Commercial|All Plans | $20.90 |
| Greater Omaha Packing | Commercial|Broad Network | $21.12 |
| Greater Omaha Packing | Commercial|Narrow Network | $21.12 |
| Medica | Commercial|ACO | $21.12 |
| Medica | Commercial|Open Access | $21.12 |
| Midlands Choice | Commercial|Premier | $21.12 |
| Midlands Choice | Commercial|Standard | $21.12 |
| Millard Public Schools | Commercial|Broad Network | $21.12 |
| Millard Public Schools | Commercial|Narrow Network | $21.12 |
| One World | Commercial|Broad Network | $21.12 |
| One World | Commercial|Narrow Network | $21.12 |
| Timpte | Commercial|Broad Network | $21.12 |
| United | Commercial|All Plans | $21.12 |
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