Urinalysis at Suburban Behavioral Health Campus of Roxborough Memorial Hospital. CPT 81001.
What Suburban Behavioral Health Campus of Roxborough Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3.00cash price (self-pay)
$207list price
$2.54–$201range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military Tricare | Humana Military Tricare | $2.54 |
| NJ Medicaid HMO | NJ Medicaid HMO | $2.54 |
| Health Partners Plan | Health Partners Plan Medicaid | $3.00 |
| Cigna | Cigna Commercial (05-01-2023 to 12-31-2026) | $3.17 |
| Health Partners Plan | Health Partners Plan Medicare | $3.17 |
| Independence Blue Cross | IBC Medicare | $3.17 |
| PA Health & Wellness | PA Health & Wellness Medicare & Duals | $3.17 |
| Traditional Medicare | Traditional Medicare | $3.17 |
| Tricare | Tricare | $3.17 |
| UHC | UHC Medicare | $3.17 |
| UHC | UHC Va Ccn | $3.17 |
| Keystone | Keystone First Medicaid | $3.20 |
| Providers Partner Health Plan | Provider Partners Health Plan | $3.27 |
| Keystone | Keystone First Medicare | $3.30 |
| Ally-Align Medicare | Ally-Align Medicare | $3.33 |
| Spartan | Spartan Plan | $3.33 |
| UHC | UHC Medicaid | $3.39 |
| Auto Insurance | Auto Insurance | $3.49 |
| Worker Compensation | Worker Compensation | $3.58 |
| PA Health & Wellness | PA Health & Wellness Commercial Insurance Excha | $3.80 |
| UHC | UHC Commercial All Payer | $3.80 |
| UHC | UHC Exchange | $3.80 |
| Employer Direct Healthcare | Employer Direct Healthcare | $4.44 |
| Health Partners Plan | Health Partners Plan Exchange | $4.76 |
| Naphcare | Naphcare | $4.91 |
| Highmark | Highmark Commercial (02-01-2024 to 12-31-2026) | $6.56 |
| Independence Blue Cross | IBC PPACA | $11.77 |
| Independence Blue Cross | IBC Commercial HMO PPO | $13.76 |
| Independence Blue Cross | IBC Indemnity | $13.76 |
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All common services at Suburban Behavioral Health Campus of Roxborough Memorial Hospital