Urinalysis at St. Luke's Health Memorial San Augustine. CPT 81001.
What St. Luke's Health Memorial San Augustine publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2.55cash price (self-pay)
$201list price
$2.66–$347range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TCHP | Medicaid|All Plans | $2.66 |
| AETNA | Medicare|All Plans | $3.17 |
| HUMANA | Medicare|All Plans | $3.17 |
| Wellpoint | Medicare|All Plans | $3.27 |
| BCBS | Medicare|All Plans | $3.33 |
| CIGNA HEALTHSPRING | Medicare|All Other Plans | $3.33 |
| UNITED | Medicare|All Plans | $3.33 |
| CIGNA HEALTHSPRING | Medicare|PPO | $3.36 |
| SCANHealth | Medicare|All Plans | $3.39 |
| MD Save | Commercial|All Plans | $3.96 |
| SUPERIOR | Medicaid|All Other Plans | $4.34 |
| SUPERIOR | Medicaid|STARPLUS | $4.34 |
| UNITED | Medicaid|All Other Plans | $4.34 |
| UNITED | Medicaid|CHIP | $4.34 |
| UNITED | Medicaid|STAR | $4.34 |
| UNITED | Medicaid|STARKIDS | $4.34 |
| Wellpoint | Medicaid|All Other Plans | $4.34 |
| CIGNA HEALTHSPRING | Medicaid|STARPLUS | $4.43 |
| Wellpoint | Medicaid|STARPLUS | $4.47 |
| BCBS | Medicaid|All Plans | $4.56 |
| Wellpoint | Commercial|Exchange | $5.00 |
| BCBS-TX | Commercial|Blue Advantage HMO | $6.02 |
| SUPERIOR | Medicaid|STAR | $6.81 |
| Wellpoint | Medicaid|STAR | $6.81 |
| UNITED | Medicaid|STARPLUS | $7.77 |
| Entrust | Commercial|All Plans | $8.24 |
| Angelina County | Commercial|All Plans | $8.65 |
| Brookshire Brothers | Commercial|All Plans | $9.51 |
| BCBS-TX | Commercial|Blue Premier | $10.46 |
| BCBS-TX | Commercial|HMO | $11.10 |
Inpatient
$2.55cash price (self-pay)
$201list price
$4.25–$385range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial|All Plans | $50.25 |
| Humana | Commercial|All Plans | $141 |
| Multiplan | Commercial|All Plans | $141 |
| PHCS | Commercial|All Plans | $161 |
| Galaxy | Commercial|All Plans | $181 |
| United | Commercial|Exchange | $201 |
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All common services at St. Luke's Health Memorial San Augustine