Urinalysis at St David's Rehabilitation Hospital. CPT 81001.
What St David's Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$421cash price (self-pay)
$421list price
$2.66–$379range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | MGMCD | $2.71 |
| United | AllPayerAppendix | $3.17 |
| United | NarrowNetworkHIX | $3.17 |
| United | SmallGroup | $3.17 |
| Superior Health Plan | CHIP | $21.05 |
| Superior Health Plan | CHPFC | $21.05 |
| Superior Health Plan | STAR | $21.05 |
| Superior Health Plan | STARPLUS | $21.05 |
| Superior Health Plan | AmbetterEPO | $71.57 |
| Superior Health Plan | AmbetterHMO | $71.57 |
| Moda | Hix | $98.94 |
| Covenant Management Systems | HMO | $112 |
| Humana | HMO | $117 |
| Humana | PPO | $117 |
| Healthcare Highways | EPO | $123 |
| Healthcare Highways | PPO | $126 |
| IMO Med - Select Network | WC | $126 |
| BCBS | Traditional | $134 |
| Nomi Health | COMMTier1OutofNetwork | $135 |
| MODA Health | EPO | $152 |
| Evry Health | BroadNetwork | $155 |
| MODA Health | PPO | $156 |
| Nomi Health | COMMTier1 | $156 |
| Nomi Health | Tier2OutofNetwork | $156 |
| Harbor Health Team | COMMPPO | $168 |
| Comanche County | LOCALGOV | $211 |
| National ChoiceCare | WC | $211 |
| HealthSmart Preferred Care | Accel | $232 |
| Independent Medical Systems | COMM | $232 |
| Physicians Cooperative of Texas | WC | $232 |
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