Urinalysis at Medical City Lewisville Hospital. CPT 81001.
What Medical City Lewisville Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$782cash price (self-pay)
$782list price
$1.90–$782range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | CHIP | $2.96 |
| Molina | MCDSTAR | $2.96 |
| Molina | STAR+PLUS | $2.96 |
| Molina | STARKIDS | $2.96 |
| 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 | $54.75 |
| Superior Health Plan | MCDSTAR | $54.75 |
| Superior Health Plan | STARHealth | $54.75 |
| Superior Health Plan | STARKids | $54.75 |
| Superior Health Plan | STARPLUS | $54.75 |
| Cigna | IFP | $106 |
| Cigna | QHP | $109 |
| Healthcare Highways | NarrowNetwork | $192 |
| Evry Health | COMM | $202 |
| Healthcare Highways | CityofPlano | $264 |
| BCBS | Traditional | $324 |
| City of McKinney | COMM | $352 |
| Fidelis SecureCare | MGMCR | $352 |
| National ChoiceCare | WCOMP | $391 |
| Aetna | ASA | $395 |
| Aetna | WCOMP | $430 |
| PC Texas Partners | WCOMP | $430 |
| Physicians Coop of TX | MGMCR | $430 |
| Rockport Health Group | WORKERSCOMP | $430 |
| Aetna Coventry First Health | COMM | $448 |
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