Urinalysis at Samaritan Hospital. CPT 81001.
What Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$11.00cash price (self-pay)
$11.00list price
$2.54–$108range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - NY (Anthem) Medicare Advantage | Empire BCBS Medicare Adv | $3.11 |
| Blue Cross - NY (Excellus) Medicare Advantage | Blue Shield Of Ne New | $3.17 |
| Mvp | Mvp Commercial Products | $3.39 |
| Mvp | Mvp Individual & Student Health Plan | $3.39 |
| Hudson Headwaters Pace | Hudson Headwaters Pace | $3.42 |
| Nascentia Health Plus | Nascentia Health Plus Medicare Advantage | $3.55 |
| Wellpath | Wellpath | $7.13 |
| Blue Cross - NY (Anthem) | Empire BCBS Blue Access | $7.42 |
| United Healthcare | United Healthcare | $7.93 |
| Harvard Pilgrim Healthcare | United Healthcare | $7.93 |
| Blue Cross - In (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $8.24 |
| Blue Cross - Ky (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $8.24 |
| Blue Cross - Id | Empire BCBS HMO EPO PPO Indemnity | $8.24 |
| Blue Cross - Oh (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $8.24 |
| Blue Cross - Sd (Wellmark) | Empire BCBS HMO EPO PPO Indemnity | $8.24 |
| Blue Cross - NY (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $8.24 |
| Trustmark Small Business Benefits | Aetna | $10.30 |
| 1199 National Benefit Fund | Aetna | $10.30 |
| Blue Cross - Ia (Wellmark) | Blue Shield Of Ne New York HMO | $11.64 |
| Blue Cross - Mi | Blue Shield Of Ne New York HMO | $11.64 |
| Blue Cross - MA | Blue Shield Of Ne New York HMO | $11.64 |
| Blue Cross - IL | Blue Shield Of Ne New York HMO | $11.64 |
| Blue Cross - Nj (Horizon) | Blue Shield Of Ne New York HMO | $11.64 |
| Blue Cross - Ia (Wellmark) | Blue Shield Of Ne New York PPO | $14.55 |
| Blue Cross - La | Blue Shield Of Ne New York PPO | $14.55 |
| Blue Cross - Ms | Blue Shield Of Ne New York PPO | $14.55 |
| Blue Shield - Id (Regence) | Blue Shield Of Ne New York PPO | $14.55 |
| Blue Cross - Mi | Blue Shield Of Ne New York PPO | $14.55 |
| Blue Cross - MA | Blue Shield Of Ne New York PPO | $14.55 |
| Blue Cross - Id | Blue Shield Of Ne New York PPO | $14.55 |
Inpatient
$21.21cash price (self-pay)
—list price
$2.54–$21.21range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Dentaquest | Pb Xr 100% Default | $21.21 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $21.21 |
| Everence | Pb Xr 100% Default | $21.21 |
| Health Choices | Pb Xr 100% Default | $21.21 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $21.21 |
| Molina Medicare Advantage | Pb Xr 100% Default | $21.21 |
| The Health Plan | Pb Xr 100% Default | $21.21 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $21.21 |
| Union Health Service | Pb Xr 100% Default | $21.21 |
| Rx Allwin | Pb Xr 100% Default | $21.21 |
| Cmh Washtenaw County | Pb Xr 100% Default | $21.21 |
| Health Alliance Medicare Advantage | Pb Xr 100% Default | $21.21 |
| Eon Health Medicare Advantage | Pb Xr 100% Default | $21.21 |
| Wc Society | Pb Xr 100% Default | $21.21 |
| Wc North American Rishces | Pb Xr 100% Default | $21.21 |
| Wc Broadspire | Pb Xr 100% Default | $21.21 |
| Wc Amtrust | Pb Xr 100% Default | $21.21 |
| Wc Zenith | Pb Xr 100% Default | $21.21 |
| Wc Amerisure | Pb Xr 100% Default | $21.21 |
| Wc Fcci | Pb Xr 100% Default | $21.21 |
| Wc Johns Eastern | Pb Xr 100% Default | $21.21 |
| Wc Enablecomp | Pb Xr 100% Default | $21.21 |
| Wc Sentry | Pb Xr 100% Default | $21.21 |
| Wc Unified Health Services | Pb Xr 100% Default | $21.21 |
| Auto Aaa | Pb Xr 100% Default | $21.21 |
| Blue Cross - Pa (Independence) | Pb Xr 100% Default | $21.21 |
| Blue Cross - Or (Regence) | Pb Xr 100% Default | $21.21 |
| Blue Cross - Ok | Pb Xr 100% Default | $21.21 |
| Wellpath | Pb Xr 100% Default | $21.21 |
| Security Administrative Services - Indiana | Pb Xr 100% Default | $21.21 |
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