Urinalysis at Froedtert Holy Family Memorial Hospital. CPT 81001.
What Froedtert Holy Family Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$18.15cash price (self-pay)
$33.00list price
$3.17–$29.04range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | Medicare Advantage | $3.17 |
| Community Care Incorporated | Medicare Advantage | $3.17 |
| Health Partners | Medicare Advantage | $3.17 |
| Humana | Medicare Advantage | $3.17 |
| ICare | Medicare Advantage | $3.17 |
| Molina | Medicare Advantage | $3.17 |
| Network Health Plan | Medicare Advantage | $3.17 |
| Security Health Plan | Medicare Advantage | $3.17 |
| United Healthcare | Medicare Advantage | $3.17 |
| Allwell | Medicare Advantage | $3.23 |
| Molina | Marketplace Plans | $3.42 |
| Network Health Plan | HMO | $3.80 |
| United Healthcare | Manitowoc Schools | $3.80 |
| United Healthcare | Nexus | $3.80 |
| United Healthcare Choice/Navigate | APA | $3.80 |
| United Healthcare Options | PPO | $3.80 |
| Anthem Blue Cross Blue Shield (Healthlink) | HMO/PPO | $4.12 |
| Health Payment Systems | All Contracted Commercial Plans | $7.93 |
| Chorus Community Health Plan | Marketplace Plans | $9.08 |
| Medical College of Wisconsin | Employee Plan | $10.89 |
| Centivo | WI 2 Median | $13.20 |
| Centivo | WI 1 Broad | $15.18 |
| Dean Health Plan | All Plans | $16.50 |
| Network Health Plan | ACA | $18.15 |
| Sheboygan Employers Health Network | All Contracted Commercial Plans | $19.80 |
| Health Partners | All Contracted Commercial Plans | $21.45 |
| Trilogy | All Contracted Commercial Plans | $21.78 |
| Cigna | All Contracted Commercial Plans | $23.76 |
| WPS Health Plan | All Contracted Commercial Plans | $24.42 |
| Aspirus | Marketplace Plans | $26.40 |
Inpatient
$18.15cash price (self-pay)
$33.00list price
$19.80–$29.04range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sheboygan Employers Health Network | All Contracted Commercial Plans | $19.80 |
| Trilogy | All Contracted Commercial Plans | $21.78 |
| Cigna | All Contracted Commercial Plans | $23.76 |
| Aspirus | Marketplace Plans | $26.40 |
| HealthEos | All Contracted Commercial Plans | $26.40 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $26.40 |
| Preferred One | All Contracted Commercial Plans | $26.40 |
| Security Health Plan | All Contracted Commercial Plans | $26.40 |
| HealthSmart | All Contracted Commercial Plans | $27.39 |
| First Health Network | All Contracted Commercial Plans | $29.04 |
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All common services at Froedtert Holy Family Memorial Hospital