Urinalysis at Good Samaritan University Hospital. CPT 81001.
What Good Samaritan University Hospital publishes for this service, straight from its standard-charges file, last updated February 19, 2026.
Outpatient / ER
—cash price (self-pay)
$194list price
$3.11–$194range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS-NY Empire | MA | $3.11 |
| Aetna | Medicare | $3.17 |
| Affinity Health Plan | CHP | $3.17 |
| Affinity Health Plan | HARP | $3.17 |
| Affinity Health Plan | MEDICAID | $3.17 |
| Centerlight Healthcare | MEDICAID | $3.17 |
| Centerlight Healthcare | PACE | $3.17 |
| Centers Plan For Healthy Living | Medicare | $3.17 |
| Agewell New York | Medicare HMO | $3.28 |
| Aetna | Narrow Network | $3.74 |
| Aetna | Commercial | $4.44 |
| Centivo | Commercial | $4.76 |
| Affinity Health Plan | EP 1&2 | $7.13 |
| Affinity Health Plan | EP 3&4 | $7.13 |
| American Plan Administrators | Commercial | $7.13 |
| Amerihealth Administrators | Commercial | $7.13 |
| Benefit Services | Commercial | $7.13 |
| APWU | Commercial | $7.91 |
| Centivo | PPO Cigna Medical | $7.91 |
| Cigna | Commercial | $7.91 |
| Daniel H Cook | Associates | $7.91 |
| Brighton | Create IDN | $8.13 |
| Brighton | Create Flex | $8.37 |
| BCBS-NY Empire | Blue Access Small Group | $8.90 |
| BCBS-NY Empire | Blue Access Large Group | $10.54 |
| BCBS-NY Empire | Commercial | $11.72 |
| Allied Wellfare Fund | Commercial | $126 |
| American Group Administrators | Commercial | $126 |
| Bakery & Confectionery Union | Commercial | $126 |
| Brighton | Direct Plus | $126 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.