Urinalysis at Intermountain Health Fillmore Community Hospital. CPT 81001.
What Intermountain Health Fillmore Community Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$27.84cash price (self-pay)
$37.12list price
$3.17–$52.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of Nevada | Medicaid | $8.64 |
| Aetna | Medicare Adv HMO | $10.12 |
| Health Partners of Nevada | Medicare Advantage | $10.12 |
| Healthy U | Medicaid | $10.12 |
| Molina | Medicaid | $10.12 |
| SelectHealth | Medicaid | $10.12 |
| SelectHealth | Medicare Advantage | $10.12 |
| American Health | Medicare Adv UT HMO I-SNP | $10.19 |
| Humana | Medicare Choice PPO | $10.20 |
| Molina | Medicare Complete Care HMO SNP | $10.22 |
| Regence BCBS | MedAdvantage | $10.22 |
| Regence BCBS | MedAdvantage PPO | $10.22 |
| Aetna | Medicare Adv PPO | $10.29 |
| AG Administrators | USU Athletics | $43.63 |
| Aetna | Standard | $43.63 |
| BYU Athletics | Commercial | $43.63 |
| Campbell Scientific | Commercial | $43.63 |
| Cigna | HMO | $43.63 |
| Cigna | PPO/EPO | $43.63 |
| Deseret Mutual | All Other | $43.63 |
| Deseret Mutual | Select | $43.63 |
| EMI Health | Mint | $43.63 |
| EMI Health | Network Care | $43.63 |
| EMI | Commercial | $43.63 |
| Franklin County | Commercial | $43.63 |
| Health Utah | Commercial | $43.63 |
| Juniper Systems | Commercial | $43.63 |
| LW Miller | Commercial | $43.63 |
| Managed Care Admin | Commercial | $43.63 |
| MotivHealth | Commercial | $43.63 |
Inpatient
$27.84cash price (self-pay)
$37.12list price
$27.84–$35.26range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Injury Care of Nevada | Workers Comp | $27.84 |
| BYU Risk Management | Workers Comp | $31.55 |
| CorVel Corporation | Workers Comp | $31.55 |
| Corporation of the President | Workers Comp | $31.55 |
| Health Plan of Nevada | Medicaid | $33.04 |
| Healthy U | Medicaid | $33.04 |
| Molina | Medicaid | $33.04 |
| AG Administrators | USU Athletics | $35.26 |
| AWH Connected | Connected Utah | $35.26 |
| Aetna | Connected | $35.26 |
| Aetna | Extended | $35.26 |
| Aetna | Standard | $35.26 |
| BYU Athletics | Commercial | $35.26 |
| Campbell Scientific | Commercial | $35.26 |
| Cigna | HMO | $35.26 |
| Cigna | Open Access Flex | $35.26 |
| Cigna | PPO/EPO | $35.26 |
| Deseret Mutual | All Other | $35.26 |
| Deseret Mutual | Select | $35.26 |
| EMI Health | Mint | $35.26 |
| EMI Health | Network Care | $35.26 |
| EMI | Commercial | $35.26 |
| Franklin County | Commercial | $35.26 |
| Global Excel | Commercial | $35.26 |
| Health Utah | Commercial | $35.26 |
| Hygeia Corporation | Commercial | $35.26 |
| Intermountain Caregiver Plan | Med Network | $35.26 |
| Juniper Systems | Commercial | $35.26 |
| LW Miller | Commercial | $35.26 |
| Managed Care Admin | Commercial | $35.26 |
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All common services at Intermountain Health Fillmore Community Hospital