Urinalysis at Lewisgale Hospital-montgomery. CPT 81001.
What Lewisgale Hospital-montgomery publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$206cash price (self-pay)
$206list price
$2.76–$185range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TriAtlantic | TRICR | $2.76 |
| Health Net | TRICR | $2.93 |
| Humana Military | TRCR | $3.15 |
| United | AllPayerAppendix | $3.17 |
| Devoted | MCR | $3.17 |
| Good Samaritan Hospice | COMM | $3.17 |
| Humana | MCR | $3.17 |
| Sentara Health | MCR | $3.17 |
| United | VACCN | $3.17 |
| United Mine Workers | MCR | $3.17 |
| United | MGMCR | $3.19 |
| Aetna | MGMCR | $3.21 |
| Virginia Premier Health | MGMCR | $3.23 |
| Anthem | MGMCR | $3.27 |
| Cigna HealthSpring | MCR | $3.30 |
| Align Senior Care | MGMCR | $3.39 |
| Pyramid Life | MGMCR | $3.39 |
| Anthem | HIX | $13.56 |
| Anthem | HMO | $15.06 |
| Anthem | PPO | $15.06 |
| Cigna | NPR | $35.84 |
| Lifeworks | MCR | $39.14 |
| Aetna | SharedSavings | $74.16 |
| United | OptionsPPO | $79.72 |
| United | GlobalBenefitPlan | $92.70 |
| Greenvbrier Sporting Club | COMM | $124 |
| Multiplan | PHCS | $138 |
| CorVel | WorkersComp | $148 |
| Richfield Nursing Center | COMM | $155 |
| Richfield Retirement Community | COMM | $155 |
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