Urinalysis at Holy Cross Hospital - Davis. CPT 81001.
What Holy Cross Hospital - Davis publishes for this service, straight from its standard-charges file, last updated February 11, 2026.
Outpatient / ER
$83.14cash price (self-pay)
$208list price
$2.19–$208range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence Blue Cross Blue Shield | Commercial Savewell | $2.19 |
| Managed Medicaid | Managed Medicaid | $2.69 |
| Regence Blue Cross Blue Shield | Commercial UVU | $2.69 |
| UUHP | Managed Medicaid | $2.69 |
| Cigna Healthcare | Commercial Local Plus | $2.71 |
| Humana | Managed Medicare | $3.11 |
| Managed Medicare | Managed Medicare | $3.11 |
| Medicare | Medicare | $3.11 |
| Regence Blue Cross Blue Shield | Commercial PAR | $3.17 |
| Regence Blue Cross Blue Shield | Commercial PPO | $3.17 |
| Cigna Healthcare | Commercial HMO/NBP/OAP | $3.31 |
| Employer Direct Healthcare | Commercial PPO/POS/HMO | $3.90 |
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $3.99 |
| MotivHealth | Commercial PPO/POS/HMO | $4.12 |
| Select Health | Commercial PPO/POS/HMO | $5.50 |
| UUHP | Commercial Health Plus | $6.15 |
| Molina | Commercial PPO/POS/HMO | $6.46 |
| UUHP | Commercial Healthy Preferred | $6.61 |
| UUHP | Commercial Healthy Premier | $7.35 |
| Cigna Healthcare | Commercial All Other | $8.73 |
| PEHP | Commercial Capital Network | $88.75 |
| Aetna | Commercial Peak Performance | $91.82 |
| PEHP | Commercial Summit Exclusive | $98.31 |
| PEHP | Commercial Summit | $106 |
| Wise | Commercial PPO | $108 |
| Aetna | Commercial Standard Network | $110 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $115 |
| PEHP | Commercial Advantage | $121 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $128 |
| Multiplan | Commercial Primary | $143 |
Inpatient
$83.14cash price (self-pay)
$208list price
$77.30–$208range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence Blue Cross Blue Shield | Commercial Savewell | $77.30 |
| PEHP | Commercial Capital Network | $88.75 |
| Molina | Commercial PPO/POS/HMO | $89.25 |
| Aetna | Commercial Peak Performance | $91.82 |
| Regence Blue Cross Blue Shield | Commercial UVU | $95.23 |
| PEHP | Commercial Summit Exclusive | $98.31 |
| Select Health | Commercial PPO/POS/HMO | $102 |
| PEHP | Commercial Summit | $106 |
| Aetna | Commercial Standard Network | $110 |
| Wise | Commercial PPO | $110 |
| Regence Blue Cross Blue Shield | Commercial PPO | $112 |
| PEHP | Commercial Advantage | $121 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $125 |
| Regence Blue Cross Blue Shield | Commercial PAR | $125 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $128 |
| Multiplan | Commercial Primary | $143 |
| Aetna | Commercial Signature | $151 |
| Aetna | Commercial Extended Network | $156 |
| Aetna | Commercial Indemnity | $166 |
| Aetna Rental Networks | Commercial PPO/POS/HMO | $176 |
| EMI Health | Commercial PPO/POS/HMO | $181 |
| Multiplan | Commercial Complementary | $189 |
| United Healthcare | Commercial Behavioral Health | $208 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.