Urinalysis at St. Charles Prineville. CPT 81001.

What St. Charles Prineville publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$32.74cash price (self-pay)

$40.92list price

$2.54–$40.92range insurers pay

Insurance plan	Negotiated rate
MODA MEDICAID [528] \| Eastern Oregon CCO	$2.54
ATRIO HEALTH MEDICARE [138] \| Medicare	$3.17
VETERANS [706] \| Veteran Affairs	$3.17
SAMARITAN HEALTH PLAN MED ADV [141] \| Medicare	$3.17
MEDICARE ADVANTAGE GENERIC [199] \| Medicare	$3.17
AGERIGHT ADVANTAGE [142] \| Medicare	$3.17
AETNA MEDICARE [131] \| Medicare	$3.17
HEALTH MARKET CARE ASSURED [134] \| Medicare	$3.17
HEALTH NET MED ADV [135] \| Medicare	$3.17
MEDICARE AB REBILL ALT PAYER [175] \| Medicare	$3.17
BLUE CROSS [200] \| Blue Cross Individual	$9.65
REGENCE GROUP ADMINISTRATORS [203] \| Blue Cross PPO	$11.35
BLUE CROSS [200] \| Blue Cross PPO	$11.35
HEALTH SHARE CARE OREGON [526] \| Oregon Medicaid CCO	$14.32
HEALTH SHARE [537] \| Oregon Medicaid CCO	$14.32
CIGNA [337] \| Cigna	$25.78
MODA [310] \| Moda Synergy	$35.19
MODA [310] \| Moda Connexus	$35.19
MERITAIN HEALTH [300] \| Aetna	$35.60
UNITED HEALTHCARE [338] \| United Healthcare	$37.81
MANHATTAN LIFE INSURANCE COMPANY [379] \| First Health	$40.10
AUTO DAIRYLAND INSURANCE [617] \| Auto Insurance	$40.92
OTJ CHARTIS CLAIMS [650] \| Oregon Workers Compensation	$40.92
AUTO AMERICAN FAMILY INSURANCE [603] \| Auto Insurance	$40.92
AUTO HARTFORD [612] \| Auto Insurance	$40.92
AUTO COUNTRY INSURANCE CLAIMS [604] \| Auto Insurance	$40.92
AUTO GEICO CLAIMS OREGON [606] \| Auto Insurance	$40.92
AUTO NATIONWIDE ALLIED INSURANC [601] \| Auto Insurance	$40.92
AUTO SUBLIMITY INSURANCE [616] \| Auto Insurance	$40.92
AUTO TRAVELERS INSURANCE [615] \| Auto Insurance	$40.92

$109cash price (self-pay)

$136list price

—range insurers pay

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