Automated urinalysis without microscopic exam at Good Samaritan Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

O SPECIFIC GRAVITY URINE

Puyallup, WA

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How this price compares nationally

Good Samaritan Hospital’s median price of $2 is 52% below the median hospital's median price ($5), higher than 15% of the 2,610 hospitals reporting CPT 81003. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 81003 at Good Samaritan Hospital

Negotiated rates from the hospital’s own file: 11 payers, 24 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	Molina apple health fee schedule · outpatient	$1.95	$1.95	$1.95 – $1.95
2	UnitedHealthcare apple health fee schedule · outpatient	$2.11	$2.11	$2.11 – $2.11
3	Premera hmo fee schedule · outpatient	$2.25	$2.25	$2.25 – $2.25
4	Premera prime fee schedule · outpatient	$2.25	$2.25	$2.25 – $2.25
5	Premera signature fee schedule · outpatient	$2.25	$2.25	$2.25 – $2.25
6	Regence blue high performance fee schedule · outpatient	$2.26	$2.26	$2.26 – $2.26
7	Regence mcc/ahn fee schedule · outpatient	$2.26	$2.26	$2.26 – $2.26
8	Aetna medadvantage fee schedule · outpatient	$2.27	$2.27	$2.27 – $2.27
9	Regence medadvantage fee schedule · outpatient	$2.27	$2.27	$2.27 – $2.27
10	UnitedHealthcare medadvantage fee schedule · outpatient	$2.29	$2.29	$2.29 – $2.29
11	Molina medadvantage fee schedule · outpatient	$2.32	$2.32	$2.32 – $2.32
12	WellCare medadvantage fee schedule · outpatient	$2.32	$2.32	$2.32 – $2.32
13	Regence realvalue fee schedule · outpatient	$2.33	$2.33	$2.33 – $2.33
14	Kaiser ppo fee schedule · outpatient	$2.48	$2.48	$2.48 – $2.48
15	Regence commercial fee schedule · outpatient	$2.59	$2.59	$2.59 – $2.59
16	Cigna all commercial plans fee schedule · outpatient	$2.70	$2.70	$2.70 – $2.70
17	UnitedHealthcare all commercial plans fee schedule · outpatient	$2.70	$2.70	$2.70 – $2.70
18	Premera other commercial plans fee schedule · outpatient	$2.81	$2.81	$2.81 – $2.81
19	Ambetter coordinated care exchange fee schedule · outpatient	$4.41	$4.41	$4.41 – $4.41
20	First Health all commercial plans percent of total billed charges · outpatientfrom % of charges	$8.03	$8.03	$8.03 – $8.03
21	MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges	$8.03	$8.03	$8.03 – $8.03
22	First Health all commercial plans percent of total billed charges · inpatientfrom % of charges	$10.22	$10.22	$10.22 – $10.22
23	MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges	$10.22	$10.22	$10.22 – $10.22
24	Aetna all commercial plans fee schedule · outpatient	$10.44	$10.44	$10.44 – $10.44

Last updated: Aug 27, 2026

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