Urinalysis at Jefferson Community Health Center. CPT 81001.
What Jefferson Community Health Center publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
—cash price (self-pay)
$73.00list price
$29.36–$70.08range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross HIX | Health Exchange | $29.36 |
| Blue Cross HMO/PPO | HMO/PPO | $30.91 |
| Nebraska Total Care | Medicaid MCO | $36.50 |
| United Healthcare Medicaid | Medicaid MCO | $36.50 |
| Molina | Medicaid MCO | $36.50 |
| Aetna Medicare Advantage | Medicare Advantage | $43.07 |
| United Healthcare Medicare Advantage | Medicare Advantage | $43.07 |
| Blue Cross Medicare Advantage | Medicare Advantage | $43.07 |
| United Healthcare HMO/PPO | HMO/PPO | $69.35 |
| Aetna HMO/PPO | HMO/PPO | $70.08 |
| Midlands Choice | HMO/PPO | $70.08 |
Inpatient
—cash price (self-pay)
$73.00list price
$65.88–$70.08range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross HIX | Health Exchange | $65.88 |
| Blue Cross HMO/PPO | HMO/PPO | $69.35 |
| United Healthcare HMO/PPO | HMO/PPO | $69.35 |
| Aetna HMO/PPO | HMO/PPO | $70.08 |
| Midlands Choice | HMO/PPO | $70.08 |
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