Urinalysis at Pennsylvania Hospital. CPT 81001.
What Pennsylvania Hospital publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$195cash price (self-pay)
$195list price
$1.90–$195range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PA Medical Assistance | Medicaid | $3.00 |
| Managed Medicaid Other | Managed Medicaid Other | $3.00 |
| Philadelphia VA Medical Center | VA Medical Center | $3.17 |
| UPMC | UPMC Medicare | $3.17 |
| Medicare | Medicare | $3.17 |
| Managed Medicare Other | Managed Medicare Other | $3.17 |
| PENN LIFE (Living Independently For Elders) | PENN LIFE | $3.33 |
| PA Health and Wellness | PA Health and Wellness Medicare | $3.33 |
| United Healthcare | United Healthcare Medicare Advantage | $3.36 |
| PA Health and Wellness Medicaid | PA Health and Wellness Medicaid | $3.45 |
| US Family Health Plan | US Family Health Plan | $3.46 |
| TriCare | TriCare | $3.46 |
| Keystone Mercy Health Plan | Keystone Mercy Health Plan | $3.84 |
| UPMC | UPMC Medicaid | $5.10 |
| PA Health and Wellness | PA Health and Wellness Commercial | $5.23 |
| Oscar Health Plan | Oscar Health Plan | $5.39 |
| UnitedHealthcare Community (fka AmeriChoice MA) | UnitedHealthcare Com | $5.91 |
| Independence Blue Cross/Personal Choice | Personal Choice-IBC PPO | $9.55 |
| Optum/URN | Optum URN-Transplant Commercial | $15.85 |
| UnitedHealthcare Non Options | UnitedHealthcare Non Options | $24.18 |
| UnitedHealthcare New Business | UnitedHealthcare New Business | $34.32 |
| UnitedHealthcare | UnitedHealthcare Compass Exchange | $39.96 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $44.85 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $50.70 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $68.25 |
| Qualcare | Qualcare | $74.10 |
| Wissahickon Hospice | Wissahickon Hospice | $78.00 |
| Pgm - Chop | Pgm - Chop | $78.00 |
| Olympus | Olympus | $94.77 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $97.50 |
Inpatient
$195cash price (self-pay)
$195list price
$32.95–$195range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Horizon NJ Health | Horizon NJ Health | $32.95 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $44.85 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $50.70 |
| Devon | Devon Premier | $74.10 |
| Pgm - Chop | Pgm - Chop | $78.00 |
| Coventry | HealthAmerica/Coventry SEPA | $78.00 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $87.75 |
| HealthAmerica/Coventry | HealthAmerica/HealthAssurance | $95.55 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $97.50 |
| First Health Global | First Health Global | $97.50 |
| Coventry | Coventry of Delaware | $99.45 |
| PGM - Royal Embassy of Saudi Arabia | PGM - Royal Embassy of Saudi Ara | $117 |
| Health Net | Health Net | $117 |
| PGM - Ontario Ministry of Health and Long-Term Care (OHIP) | PGM - Ont | $127 |
| Preferred Care | Preferred Care | $156 |
| PGM - Kuwait Oil | PGM - Kuwait Oil | $156 |
| PGM - Kuwait Health Division | PGM - Kuwait Health Division | $156 |
| Intergroup | Intergroup | $156 |
| Humana Choice Care | Humana Choice Care | $156 |
| Health America/CCN | First Health/ Coventry National | $156 |
| Devon Health Services Inc | Devon Health Services | $156 |
| UPMC | UPMC Medicaid | $195 |
| UnitedHealthcare Non Options | UnitedHealthcare Non Options | $195 |
| United Behavioral Health | United Behavioral Health | $195 |
| Quest Behavioral Health | Quest Behavioral Health | $195 |
| Managed Medicaid Other | Managed Medicaid Other | $195 |
| International PFS | International PFS | $195 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-PPO | $195 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-Indemnity | $195 |
| Health Partners | Health Partners Medicaid | $195 |
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