Urinalysis at Iraan General Hospital. CPT 81001.
What Iraan General Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$97.00cash price (self-pay)
$139list price
$28.00–$245range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $28.00 |
| Aetna | Commercial | $111 |
| Blue Cross Blue Shield - Tx | Essentials Network Participation | $120 |
| Blue Cross Blue Shield - Tx | Commercial | $125 |
| Blue Cross Blue Shield - Tx | PPO | $125 |
| Superior HealthPlan | Medicare HMO | $173 |
| Superior HealthPlan | Medicare PPO | $173 |
| Superior HealthPlan | Commercial | $245 |
| Superior HealthPlan | EPO | $245 |
| Superior HealthPlan | HMO | $245 |
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