Urinalysis at Health Alliance Mary Avenue Hospital. CPT 81001.
What Health Alliance Mary Avenue Hospital publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$79.00cash price (self-pay)
$79.00list price
$2.22–$79.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare | Aetna Medicare | $3.17 |
| Beacon Medicare | Beacon Medicare | $3.17 |
| Blue Cross Medicare | Blue Cross Medicare | $3.17 |
| Cdphp Medicare | Cdphp Medicare | $3.17 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $3.17 |
| Medicare | Medicare | $3.17 |
| Medicare Managed 100% Hahv | Medicare Managed 100 Hahv | $3.17 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $3.17 |
| Todays Options Medicare | Todays Options Medicare | $3.17 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $3.23 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $3.33 |
| Todays Options | Todays Options | $3.49 |
| Beacon Exchange | Beacon Exchange | $3.80 |
| Beacon Commercial | Beacon Commercial | $4.12 |
| VALUE OPTIONS (Non-HMO) | VALUE OPTIONS (Non-HMO) | $4.75 |
| UHC Commercial | UHC Commercial | $4.76 |
| UHC Empire | UHC Empire | $4.76 |
| UHC Exchange | UHC Exchange | $4.76 |
| Aetna Hp Network | Aetna Hp Network | $8.59 |
| Aetna | Aetna | $9.54 |
| Magnacare Preferred | Magnacare Preferred | $12.52 |
| Mvp HMO/PPO | Mvp HMO/PPO | $15.88 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $18.29 |
| Blue Cross Access | Blue Cross Access | $19.49 |
| Blue Cross Small Group | Blue Cross Small Group | $21.94 |
| Blue Cross Commercial/Healthy NY | Blue Cross Commercial/Healthy NY | $24.39 |
| Self-Pay | Self-Pay | $26.74 |
| Emblem Ghi/Hip PPO/Cbp | Emblem Ghi/Hip PPO/Cbp | $48.98 |
| Mvp Exchange | Mvp Exchange | $51.35 |
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $53.72 |
Inpatient
$79.00cash price (self-pay)
$79.00list price
$55.30–$79.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnacare Standard | Magnacare Standard | $55.30 |
| Multiplan | Multiplan | $64.78 |
| Blue Shield - Health Now | Blue Shield - Health Now | $75.05 |
| Medigap | Medigap | $79.00 |
| NON CONTRACTED (100% POC) | NON CONTRACTED (100 PerCent POC) | $79.00 |
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