Urinalysis at Medical City Fort Worth Hospital. CPT 81001.
What Medical City Fort Worth Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$390cash price (self-pay)
$390list price
$1.90–$390range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $3.17 |
| United | NarrowNetworkIndivExchange | $3.17 |
| United | SmallGroup | $3.17 |
| Molina | MCR | $3.46 |
| Molina | MME | $3.46 |
| Molina | MMP | $3.46 |
| Superior Health Plan | CHIP | $27.28 |
| Superior Health Plan | MCDSTAR | $27.28 |
| Superior Health Plan | STARHealth | $27.28 |
| Superior Health Plan | STARKids | $27.28 |
| Superior Health Plan | STARPLUS | $27.28 |
| Cigna | IFP | $52.61 |
| Cigna | QHP | $54.56 |
| Unicare | CHIP | $85.73 |
| Healthcare Highways | NarrowNetwork | $95.47 |
| Evry Health | COMM | $101 |
| Healthcare Highways | CityofPlano | $132 |
| BCBS | Traditional | $161 |
| City of McKinney | COMM | $175 |
| Fidelis SecureCare | MGMCR | $175 |
| National ChoiceCare | WCOMP | $195 |
| Aetna | ASA | $197 |
| Aetna | WCOMP | $214 |
| PC Texas Partners | WCOMP | $214 |
| Physicians Coop of TX | MGMCR | $214 |
| Rockport Health Group | WORKERSCOMP | $214 |
| Aetna Coventry First Health | EXCLUSIVE | $223 |
| Aetna Coventry First Health | NONEXCLUSIVE | $223 |
| Averde Health, Inc | PPO | $226 |
| Emerging Therapy Solutions | Commercial | $261 |
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