Average Medicaid Urinalysis & Urine Tests Payments in Decatur, TX: $2.37
Avg. Paid
$2.37
Range
$1.42 – $2.83
Total Claims
7,226
Providers
10
Typical Payment Range
Typical Medicaid Urinalysis & Urine Tests payments fall between $1.15 and $3.79 per claim (median: $2.28). The top 10% of payments exceed $6.72.
Based on per-provider averages across all Medicaid claims in this category.
Laboratory analysis of urine to detect disorders like urinary tract infections, kidney disease, and diabetes.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Urinalysis & Urine Tests in Decatur, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eduardo Leon Jaramillo
2451 S Fm 51 Ste 200 |
$2.28 | 3,693 | 2,389 |
|
Kelly Swofford
2451 S Fm 51 Ste 200 |
$2.83 | 2,077 | 1,598 |
|
Decatur Hospital Authority
901 Medical Center Dr |
$1.71 | 881 | 801 |
|
Anissa G August
2401 S Fm 51 |
$2.79 | 254 | 244 |
|
Heather Nicole Stark
2451 S. Fm, Suite 300 |
$2.24 | 161 | 137 |
|
Hannah Lewis
800 Medical Center Dr |
$1.60 | 68 | 63 |
|
Decatur Health Services, Llc
609 Medical Center Dr |
$1.42 | 43 | 41 |
|
Chris E Mcgee
2000 S Fm 51 |
$1.59 | 24 | 24 |
|
Brian Keith Rich
1816 S Fm 51 Ste 800 |
$2.30 | 13 | 13 |
|
Leandra Peacock Smith
902 Preskitt Rd Ste 200 |
$1.79 | 12 | 12 |
What to Expect: Urinalysis & Urine Tests
You'll provide a urine sample in a clean container. For the most accurate results, a midstream clean-catch method is used. Results from a basic urinalysis are often available within minutes. Urine cultures (to identify bacteria causing infection) take 1-3 days. No special preparation is needed for most urine tests.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 81001 | Urinalysis auto w/micro | $3.05 | 85,139,705 | 42,083 |
| 87086 | Urine culture quantitative | $5.39 | 53,347,414 | 20,570 |
| 81003 | Urinalysis auto w/o micro | $2.35 | 52,938,086 | 53,353 |
| 81025 | Urine pregnancy test | $5.85 | 42,189,148 | 50,612 |
| 81002 | Urinalysis nonauto w/o micro | $2.39 | 27,417,633 | 35,999 |
| 87088 | Urine culture w/isolation | $4.57 | 19,055,679 | 5,942 |
| 81000 | Urinalysis nonauto w/micro | $2.52 | 8,327,846 | 7,329 |
| 81015 | Urinalysis microscopic only | $1.99 | 1,412,255 | 1,350 |
| 81005 | Urinalysis qualitative | $1.09 | 485,789 | 748 |
| 81050 | Volume measurement | $2.17 | 201,053 | 148 |
| 81007 | Urinalysis w/bacteria screen | $5.49 | 157,126 | 178 |
| 81020 | Urinalysis 2-3 glass test | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Urinalysis & Urine Tests cost in Decatur, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Urinalysis & Urine Tests in Decatur, TX is $2.37 per claim, based on 7,226 claims from 10 providers. Typical payments fall between $1.15 and $3.79. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Urinalysis & Urine Tests in Decatur, TX?
There are 10 Medicaid providers offering Urinalysis & Urine Tests related services in Decatur, TX according to public payment data.
What is the price range for Urinalysis & Urine Tests in Decatur, TX?
Medicaid reimbursement for Urinalysis & Urine Tests in Decatur, TX ranges from $1.42 to $2.83 per claim, with an average of $2.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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