Urinalysis at WellSpan Good Samaritan Hospital. CPT 81001.
What WellSpan Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$10.00cash price (self-pay)
$21.00list price
$3.17–$522range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $3.17 |
| Highmark_Medicare | All_Plans | $3.20 |
| Aetna_Advantra_Medicare | All_Plans | $3.27 |
| Aetna_Medicare | All_Plans | $3.27 |
| Geisinger_Gold_Medicare | All_Plans | $3.33 |
| Devoted_Medicare | All_Plans | $3.33 |
| United_Medicare | ISNP_DSNP_Plans | $3.33 |
| Amerihealth_Medicare | All_Plans | $3.34 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3.34 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3.34 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $3.34 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3.42 |
| PA_Health_&_Wellness_Medicare | All_Plans | $3.42 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $3.75 |
| Geisinger_Medicaid | All_Plans | $3.75 |
| Health_Partners_Medicaid | All_Other_Plans | $3.75 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $3.75 |
| UPMC_Medicaid | All_Plans | $3.75 |
| Amerihealth_Caritas_Medicaid | All_Plans | $4.26 |
| Blue_Cross | Capital_Blue_Performance_PPO | $4.63 |
| Highmark | Higmark_Healthy_Kids | $4.91 |
| Health_Partners_Medicaid | Kidz_Partners | $5.23 |
| United_Medicaid | Community_Plan_For_Kids | $5.55 |
| United_Healthcare | All_Plans | $9.51 |
| Highmark | Choice_Blue_PPO | $9.59 |
| Highmark | Performance_Blue | $9.59 |
| Highmark | Blue_Cross_High_Performance_Network | $9.59 |
| WellSpan_Capital_Blue_Cross | All_Plans | $10.00 |
| Aetna_Better_Health_Kids | All_Plans | $10.20 |
| Highmark | All_Other_Plans | $11.55 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.