Urinalysis at Gifford Medical Center. CPT 81001.
What Gifford Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$39.81cash price (self-pay)
$79.62list price
$3.13–$75.64range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Medicare Advantage | $3.17 |
| Blue Cross Blue Shield of New Hampshire | Commercial | $15.62 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $15.62 |
| Blue Cross Blue Shield of New Hampshire | Qualified Health Plan | $19.27 |
| Martins Point Health Care | Commercial | $19.48 |
| MVP Health Care of NY | Medicare Advantage | $19.50 |
| United Healthcare | VA CCN | $19.50 |
| Blue Cross Blue Shield of Vermont | Medicare Advantage | $19.74 |
| Blue Cross Blue Shield of New Hampshire | SHOP On Exchange | $26.18 |
| Harvard Pilgrim Health Care | HMO | $33.44 |
| Harvard Pilgrim Health Care | PPO | $33.44 |
| Cigna | Commercial | $33.84 |
| Blue Cross Blue Shield of Vermont | Vermont Health Plan | $34.36 |
| Blue Cross Blue Shield of Vermont | Managed Care | $34.95 |
| MVP Health Care of NY | Commercial | $35.43 |
| Blue Cross Blue Shield of Vermont | Commercial | $36.55 |
| United Healthcare | Commercial | $40.26 |
| Multiplan | Commercial | $74.05 |
| Aetna of VT | Commercial | $75.24 |
Inpatient
$39.81cash price (self-pay)
$79.62list price
$58.93–$75.64range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of New Hampshire | Commercial | $58.93 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $58.93 |
| Blue Cross Blue Shield of Vermont | Vermont Health Plan | $63.70 |
| Cigna | Commercial | $63.70 |
| Harvard Pilgrim Health Care | HMO | $63.70 |
| Harvard Pilgrim Health Care | PPO | $63.70 |
| Blue Cross Blue Shield of Vermont | Managed Care | $66.88 |
| Blue Cross Blue Shield of Vermont | Commercial | $67.68 |
| MVP Health Care of NY | Commercial | $67.68 |
| Multiplan | Commercial | $74.05 |
| Aetna of VT | Commercial | $75.64 |
| United Healthcare | Commercial | $75.64 |
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