SelfPayRates — hospital cash prices, from the source

Urinalysis without microscope exam, automated in POLSON, MT

Cash prices at 1 facility 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 Apr 1, 2026 and Apr 1, 2026.

HospitalCash price List priceOffFile date
Providence St Joseph Medical Center POLSON, MT
HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB
$40.00 $50.00 20% Apr 1, 2026
file
Providence St Joseph Medical Center POLSON, MT
HC SPECIFIC GRAVITY URINE
$44.00 $55.00 20% Apr 1, 2026
file
Providence St Joseph Medical Center POLSON, MT
HC PROTEIN URINE QUALITATIVE
$44.00 $55.00 20% Apr 1, 2026
file
Providence St Joseph Medical Center POLSON, MT
HC URINALYSIS AUTO W/O SCOPE
$44.00 $55.00 20% Apr 1, 2026
file
Providence St Joseph Medical Center POLSON, MT
HC KETONE URINE QUALITATIVE
$44.00 $55.00 20% Apr 1, 2026
file

Outpatient: lowest $40.00, median $44.00, highest $44.00 — a 1.1× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $44.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Other markets for this procedure