Urinalysis at Froedtert West Bend Hospital. CPT 81001.
What Froedtert West Bend Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$39.60cash price (self-pay)
$72.00list price
$3.17–$68.40range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allwell | Medicare Advantage | $3.17 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $3.17 |
| Community Care | 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 Secure Savers | Medicare Advantage | $3.17 |
| United Healthcare | Medicare Advantage | $3.17 |
| Aetna | Medicare Advantage | $3.23 |
| Care Wisconsin | Medicare Advantage | $3.27 |
| Network Health Plan | ACA | $3.42 |
| Network Health Plan | All Contracted Commercial Payers | $3.80 |
| Sheboygan Employers Health Network | All Contracted Commercial Payers | $3.80 |
| United Healthcare | Choice Plus/Navigate | $3.80 |
| United Healthcare | Nexus | $3.80 |
| United Healthcare | Options PPO | $3.80 |
| Anthem Blue Cross Blue Shield | HMO | $4.12 |
| Anthem Blue Cross Blue Shield | PPO | $15.85 |
| Centivo | WI 2 Median | $21.60 |
| Centivo | WI 1 Broad | $23.76 |
| UMR | MCW Employees | $23.76 |
| Froedtert South | All Contracted Commercial Plans | $30.24 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $30.96 |
| Common Ground | All Contracted Commercial Plans | $43.20 |
| Health Payment Systems | Group Specific | $45.35 |
| Health Partners | All Contracted Commercial Plans | $46.80 |
| Aetna | All Contracted Commercial Plans | $50.40 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $57.60 |
Inpatient
$39.60cash price (self-pay)
$72.00list price
$43.20–$68.40range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | All Contracted Commercial Plans | $43.20 |
| Health Payment Systems | Group Specific | $45.35 |
| Aetna | All Contracted Commercial Plans | $50.40 |
| Health Payment Systems | Other Commercial Plans | $58.20 |
| Trilogy | All Contracted Commercial Plans | $59.04 |
| Americas Choice | PPO | $62.64 |
| HealthEos | All Contracted Commercial Plans | $62.64 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $62.64 |
| First Health Network | All Contracted Commercial Plans | $63.36 |
| Hfn | PPO | $64.80 |
| IBSI Passport | All Contracted Commercial Plans | $64.80 |
| Cigna | All Contracted Commercial Plans | $68.40 |
| HealthSmart | All Contracted Commercial Plans | $68.40 |
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