Urinalysis at St. Luke's Health - Springwoods Village Hospital. CPT 81001.

What St. Luke's Health - Springwoods Village Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$91.70cash price (self-pay)

$262list price

$2.28–$262range insurers pay

Insurance plan	Negotiated rate
Renaissance \| Commercial\|All Plans	$2.28
Montgomery Hospital District \| Commercial\|All Plans	$2.66
TCHP \| Medicaid\|STARKIDS	$2.66
UHC \| Medicaid\|CHIP	$2.71
BCBS \| Medicaid\|All Plans	$2.79
CHC \| Medicaid\|All Other Plans	$3.06
KelseyCare \| Commercial\|Exchange	$4.28
BCBS-TX \| Commercial\|MyBlue Health Exchange	$4.63
Cigna \| Commercial\|All Other Plans	$4.75
Community Health Choice \| Commercial\|Exchange	$4.75
Superior Health Plan \| Commercial\|All Plans	$4.75
Bright Health \| Commercial\|All Plans	$5.23
United \| Commercial\|Exchange	$5.88
United \| Commercial\|HMO	$5.88
United \| Commercial\|PPO	$5.88
BCBS-TX \| Commercial\|Exchange	$6.02
Cigna \| Commercial\|Surefit	$7.42
Cigna \| Commercial\|HMO	$8.19
NXHealth \| Commercial\|All Plans	$10.30
BCBS-TX \| Commercial\|Blue Premier	$10.33
Cigna \| Commercial\|PPO	$11.22
BCBS-TX \| Commercial\|HMO	$13.88
BCBS-TX \| Commercial\|PPO	$16.26
TCHPCHIP \| Medicaid\|HMO	$91.70
OPTUM \| Medicaid\|STAR	$94.80
United \| Commercial\|Optum	$123
CHC \| Medicaid\|CHIP	$144
CHC \| Medicaid\|HMO	$144
TEXASTRUECHOICE \| Medicaid\|CHIP	$144
Aetna-Kelsey Care \| Commercial\|HMO	$155

Inpatient

$91.70cash price (self-pay)

$262list price

$113–$262range insurers pay

Insurance plan	Negotiated rate
TCHPCHIP \| Medicaid\|HMO	$113
CHC \| Medicaid\|CHIP	$144
CHC \| Medicaid\|HMO	$144
TEXASTRUECHOICE \| Medicaid\|CHIP	$144
Coventry \| Commercial\|PPO	$170
First Health \| Commercial\|All Plans	$170
Cigna \| Commercial\|Transplant	$183
Healthsmart \| Commercial\|PPO	$183
Interlink \| Commercial\|Transplant	$183
MultiPlan \| Commercial\|All Plans	$197
USA Health Network \| Commercial\|All Plans	$223
MHealth Network \| Commercial\|PPO	$262

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All common services at St. Luke's Health - Springwoods Village Hospital