SelfPayRates — hospital cash prices, from the source
Cash prices at 14 facilities across 9 cities for code 81003, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 31, 2026 and May 5, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| St. Vincent Anderson Regional Hospital, Inc.
ANDERSON, IN #URINALYSIS DIP STICK;AUTO |
$9.00 | $15.00 | 40% | — file |
|
| St. Vincent Anderson Regional Hospital, Inc.
ANDERSON, IN #URINALYSIS DIP STICK;AUTO |
$9.00 | $15.00 | 40% | — file |
|
| St. Vincent Madison County Health System, Inc.
ELWOOD, IN #URINALYSIS DIP STICK;AUTO |
$12.00 | $20.00 | 40% | — file |
|
| St. Vincent Madison County Health System, Inc.
ELWOOD, IN #URINALYSIS DIP STICK;AUTO |
$12.00 | $20.00 | 40% | — file |
|
| JOHNSON MEMORIAL HOSPITAL
FRANKLIN, IN Automated urinalysis test |
$13.66 | $17.08 | 20% | May 5, 2026 file |
|
| Rehabilitation Hospital Of Indiana, Inc.
INDIANAPOLIS, IN Urine Specific Gravity RHI |
$13.68 | $24.00 | 43% | — file |
|
| Rehabilitation Hospital Of Indiana, Inc.
INDIANAPOLIS, IN Urine Specific Gravity RHI |
$13.68 | $24.00 | 43% | — file |
|
| MAJOR HOSPITAL
SHELBYVILLE, IN Automated urinalysis test |
$17.36 | $56.00 | 69% | Apr 7, 2026 file |
|
| Riverview Health
NOBLESVILLE, IN URINALYSIS AUTOMATED W/O MICRO |
$17.40 | $29.00 | 40% | — file |
|
| Riverview Health
NOBLESVILLE, IN SPECIFIC GRAVITY URINE AUTOMATED |
$17.40 | $29.00 | 40% | — file |
|
| Riverview Health
NOBLESVILLE, IN POC URINALYSIS AUTOMATED W/O MICRO |
$17.40 | $29.00 | 40% | — file |
|
| Riverview Health
NOBLESVILLE, IN URINE PH AUTOMATED |
$17.40 | $29.00 | 40% | — file |
|
| Riverview Health
NOBLESVILLE, IN URINE KETONES AUTOMATED |
$17.40 | $29.00 | 40% | — file |
|
| St. Vincent Carmel Hospital, Inc.
CARMEL, IN #URINALYSIS DIP STICK;AUTO |
$65.40 | $109.00 | 40% | — file |
|
| St. Vincent Carmel Hospital, Inc.
CARMEL, IN #URINALYSIS DIP STICK;AUTO |
$65.40 | $109.00 | 40% | — file |
|
| St. Vincent Seton Specialty Hospital, Inc.
INDIANAPOLIS, IN #URINALYSIS DIP STICK;AUTO |
$65.40 | $109.00 | 40% | — file |
|
| St. Vincent Seton Specialty Hospital, Inc.
INDIANAPOLIS, IN #URINALYSIS DIP STICK;AUTO |
$65.40 | $109.00 | 40% | — file |
|
| Carmel AmbSurg
CARMEL, IN #URINALYSIS DIP STICK;AUTO |
$65.40 | $109.00 | 40% | — file |
|
| Carmel AmbSurg
CARMEL, IN #URINALYSIS DIP STICK;AUTO |
$65.40 | $109.00 | 40% | — file |
|
| St. Vincent Fishers Hospital, Inc.
FISHERS, IN #URINALYSIS DIP STICK;AUTO |
$65.40 | $109.00 | 40% | — file |
|
| St. Vincent Fishers Hospital, Inc.
FISHERS, IN #URINALYSIS DIP STICK;AUTO |
$65.40 | $109.00 | 40% | — file |
|
| Naab Road Surgery Center
INDIANAPOLIS, IN #URINALYSIS DIP STICK;AUTO |
$65.40 | $109.00 | 40% | — file |
|
| Naab Road Surgery Center
INDIANAPOLIS, IN #URINALYSIS DIP STICK;AUTO |
$65.40 | $109.00 | 40% | — file |
|
| Endo Surgery Center
CARMEL, IN #URINALYSIS DIP STICK;AUTO |
$65.40 | $109.00 | 40% | — file |
|
| Endo Surgery Center
CARMEL, IN #URINALYSIS DIP STICK;AUTO |
$65.40 | $109.00 | 40% | — file |
|
| St. Vincent Anderson Regional Hospital, Inc.
ANDERSON, IN URINALS DIPSTICK AUTO WO/MICR |
$69.60 | $116.00 | 40% | — file |
|
| St. Vincent Anderson Regional Hospital, Inc.
ANDERSON, IN URINALS DIPSTICK AUTO WO/MICR |
$69.60 | $116.00 | 40% | — file |
|
| St. Vincent Madison County Health System, Inc.
ELWOOD, IN URINALS DIPSTICK AUTO WO/MICR |
$83.40 | $139.00 | 40% | — file |
|
| St. Vincent Madison County Health System, Inc.
ELWOOD, IN URINALS DIPSTICK AUTO WO/MICR |
$83.40 | $139.00 | 40% | — file |
|
| St. Vincent Fishers Hospital, Inc.
FISHERS, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| Carmel AmbSurg
CARMEL, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| Carmel AmbSurg
CARMEL, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| Endo Surgery Center
CARMEL, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| Endo Surgery Center
CARMEL, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| St. Vincent Seton Specialty Hospital, Inc.
INDIANAPOLIS, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| St. Vincent Seton Specialty Hospital, Inc.
INDIANAPOLIS, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| Naab Road Surgery Center
INDIANAPOLIS, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| Naab Road Surgery Center
INDIANAPOLIS, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| St. Vincent Heart Center of Indiana LLC
CARMEL, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| St. Vincent Heart Center of Indiana LLC
CARMEL, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| St. Vincent Fishers Hospital, Inc.
FISHERS, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| St. Vincent Carmel Hospital, Inc.
CARMEL, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| St. Vincent Carmel Hospital, Inc.
CARMEL, IN URINALS DIPSTICK AUTO WO/MICR |
$101.40 | $169.00 | 40% | — file |
|
| Witham Memorial Hospital
LEBANON, IN Automated urinalysis test |
$119.81 | $171.15 | 30% | Mar 31, 2026 file |
Outpatient: lowest $9.00, median $65.40, highest $119.81 — a 13.3× difference within the same market.
As an inpatient, the same code is billed by 11 facilities here, median $65.40. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.