Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Urinalysis, Auto, W/O Scope
Lebanon, NH
See all hospitals reporting CPT 81003 →Price type
Alice_peck_day_memorial_hospital’s median price of $45 is 820% above the median hospital's median price ($5), higher than 90% of the 2,610 hospitals reporting CPT 81003. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Ambetter nh healthy families ambetter fee schedule · outpatient | $1.53 | $1.53 | $1.53 – $1.53 |
| 2 | Amerihealth Caritas amerihealth-caritas nh managed medicaid fee schedule · outpatient | $1.58 | $1.58 | $1.58 – $1.58 |
| 3 | Blue Cross Blue Shield bcbs medicare advantage fee schedule · outpatient | $8.63 | $8.63 | $8.63 – $8.63 |
| 4 | Blue Cross Blue Shield anthem hmo/pos/ppo fee schedule · outpatient | $13.11 | $13.11 | $13.11 – $13.11 |
| 5 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $30.65 | $30.65 | $29.66 – $31.64 |
| 6 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $30.65 | $30.65 | $29.66 – $31.64 |
| 7 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $42.92 | $42.92 | $41.53 – $44.30 |
| 8 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $44.64 | $44.64 | $43.20 – $46.08 |
| 9 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $44.64 | $44.64 | $43.20 – $46.08 |
| 10 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $47.49 | $47.49 | $45.96 – $49.02 |
| 11 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $47.93 | $47.93 | $46.38 – $49.47 |
| 12 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $50.10 | $50.10 | $48.48 – $51.71 |
| 13 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $50.72 | $50.72 | $49.08 – $52.35 |
| 14 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $53.13 | $53.13 | $51.42 – $54.85 |
| 15 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $55.18 | $55.18 | $53.40 – $56.96 |
| 16 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $55.80 | $55.80 | $54.00 – $57.60 |
| 17 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $64.48 | $64.48 | $62.40 – $66.56 |
Last updated: Jan 1, 2026
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