Urinalysis at Legacy Good Samaritan Medical Center IP Rehab. CPT 81001.
What Legacy Good Samaritan Medical Center IP Rehab publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2.24cash price (self-pay)
$18.25list price
$3.17–$12.26range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $3.17 |
| Atrio | Medicare Managed Care Plan | $3.27 |
| Aetna | Medicare Managed Care Plan | $3.33 |
| HealthNet | Medicare Managed Care Plan | $3.36 |
| CareOregon | Medicare Managed Care Plan | $3.42 |
| Ageright | Medicare Managed Care Plan | $3.49 |
| Moda | Medicare Managed Care Plan | $3.55 |
| Aetna | All Commercial Plans | $5.93 |
| PacificSource | Navigator All Commercial Plans | $6.19 |
| Moda | OEBB/PEBB Other Commercial Plan | $6.34 |
| PacificSource | Voyager All Commercial Plans | $7.24 |
| HealthNet | All Commercial Plans | $8.27 |
| Cigna | All Commercial Plans | $11.39 |
| Cigna | LocalPlus All Commercial Plans | $11.39 |
| Moda | All Commercial Plans | $12.26 |
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All common services at Legacy Good Samaritan Medical Center IP Rehab