Urinalysis at Gundersen TriCounty Hospital and Clinics. CPT 81001.
What Gundersen TriCounty Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$16.48cash price (self-pay)
$26.00list price
$1.05–$24.70range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $1.05 |
| Anthem | Medicaid | $5.16 |
| Group Health Eau Claire | Medicaid HMO | $5.16 |
| Group Health of South Central | Medicaid HMO | $5.16 |
| Iowa Total Care | Medicaid | $5.16 |
| Managed Health Service | Managed Medicaid | $5.16 |
| Quartz | Medicaid_Badgercare | $5.16 |
| Quartz | All Products | $11.00 |
| Quartz | All Other Self Funded | $11.44 |
| Quartz | Self Funded | $12.22 |
| Quartz | Level Funded | $12.61 |
| UCARE | Non-Dually Eligible | $13.52 |
| UCARE | MSHO/Minnesota Special Needs | $13.52 |
| UCARE | Dually Eligible | $13.52 |
| Quartz | Fully Insured | $14.17 |
| Anthem | Medicare HMO/PPO | $15.34 |
| Humana | Medicare Advantage | $15.34 |
| Quartz | Medicare Advantage | $15.34 |
| UHC | Medicare Advantage | $15.34 |
| Anthem | State Specific | $17.95 |
| Anthem | PPO | $17.95 |
| Anthem | HMO/POS | $17.95 |
| UHC | All Payer Appendix | $18.72 |
| Cigna | All Products | $20.05 |
| Alliance | Premier/All Products | $20.80 |
| Group Health of South Central | All Products | $20.80 |
| Trilogy | All Products | $20.80 |
| UCARE | Qualified Health Plan | $20.80 |
| Aspirus Arise Health | All Products | $21.58 |
| Allied National | Core Value Programs | $22.10 |
Inpatient
$16.48cash price (self-pay)
$26.00list price
$11.00–$24.70range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $15.31 |
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All common services at Gundersen TriCounty Hospital and Clinics