Urinalysis at Intermountain Health Spanish Fork Hospital. CPT 81001.
What Intermountain Health Spanish Fork Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$32.75cash price (self-pay)
$43.67list price
$2.82–$52.00range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of Nevada | Medicaid | $3.17 |
| SelectHealth | Medicaid | $3.17 |
| Aetna | Medicare Adv HMO | $3.17 |
| Aetna | Medicare Adv PPO | $3.17 |
| American Health | Medicare Adv UT HMO I-SNP | $3.17 |
| Health Partners of Nevada | Medicare Advantage | $3.17 |
| Healthy U | Medicaid | $3.17 |
| Humana | Medicare Choice PPO | $3.17 |
| Molina | Medicare Advantage | $3.17 |
| Molina | Medicare Complete Care HMO SNP | $3.17 |
| Regence BCBS | MedAdvantage PPO | $3.17 |
| SelectHealth | Medicare Advantage | $3.17 |
| UHC | Medicare Advantage | $3.17 |
| SelectHealth | Signature Individual ACA | $3.24 |
| SelectHealth | Value Individual ACA | $3.24 |
| SelectHealth | Med Individual ACA | $3.40 |
| Intermountain Caregiver Plan | Share Network | $16.76 |
| SelectHealth | FEHBP | $16.76 |
| SelectHealth | SelectShare | $16.76 |
| SelectHealth | SelectValue | $16.76 |
| UHC | Non-Options PPO | $17.89 |
| Intermountain Caregiver Plan | CHP | $18.02 |
| Intermountain Caregiver Plan | Med Network | $18.02 |
| SelectHealth | SelectMed/CHIP | $18.02 |
| SelectHealth | SelectCare | $18.55 |
| EMI | Commercial | $37.79 |
| Deseret Mutual | Commercial | $38.55 |
| Deseret Mutual | Connected Utah | $38.55 |
| Regence BCBS | BlueOption | $39.48 |
| AWH Connected | Connected Utah | $40.09 |
Inpatient
$32.75cash price (self-pay)
$43.67list price
$2.84–$39.30range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $2.84 |
| SelectHealth | Med Individual ACA | $13.01 |
| Health Plan of Nevada | Medicaid | $13.10 |
| Intermountain Caregiver Plan | Share Network | $18.52 |
| SelectHealth | FEHBP | $18.52 |
| Intermountain Caregiver Plan | CHP | $21.05 |
| Intermountain Caregiver Plan | Med Network | $21.05 |
| EMI | Commercial | $23.58 |
| Deseret Mutual | Commercial | $25.11 |
| Deseret Mutual | Connected Utah | $25.11 |
| Regence BCBS | BlueOption | $26.97 |
| Cigna | Open Access Flex | $27.51 |
| AWH Connected | Connected Utah | $27.73 |
| EMI Health | Mint | $30.31 |
| EMI Health | Network Care | $30.31 |
| PEHP | Advantage State | $30.39 |
| BYU Risk Management | Workers Comp | $30.57 |
| Corporation of the President | Workers Comp | $30.57 |
| Regence BCBS | High Performance | $30.57 |
| Regence BCBS | FEHBP | $30.79 |
| PEHP | Advantage Non-State | $31.01 |
| BYU Athletics | Commercial | $31.44 |
| Campbell Scientific | Commercial | $31.44 |
| CorVel Corporation | Workers Comp | $31.44 |
| Franklin County | Commercial | $31.44 |
| Juniper Systems | Commercial | $31.44 |
| LW Miller | Commercial | $31.44 |
| Injury Care of Nevada | Workers Comp | $32.75 |
| Regence BCBS | Traditional | $33.19 |
| Managed Care Admin | Commercial | $34.06 |
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All common services at Intermountain Health Spanish Fork Hospital