Average Medicaid Urinalysis & Urine Tests Payments in Pontiac, IL: $2.36
Avg. Paid
$2.36
Range
$2.16 – $2.79
Total Claims
1,186
Providers
5
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 Pontiac, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elaine Marie Carroll
1508 W Reynolds St |
$2.19 | 673 | 357 |
|
Tom Murphy
1506 W Reynolds St |
$2.57 | 233 | 211 |
|
Livingston County
310 E Torrance Ave |
$2.79 | 173 | 132 |
|
Steven S. Norris
2500 W Reynolds St |
$2.16 | 62 | 52 |
|
James Benjamin Mikeworth
2500 W Reynolds St |
$2.48 | 45 | 40 |
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 Pontiac, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Urinalysis & Urine Tests in Pontiac, IL is $2.36 per claim, based on 1,186 claims from 5 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 Pontiac, IL?
There are 5 Medicaid providers offering Urinalysis & Urine Tests related services in Pontiac, IL according to public payment data.
What is the price range for Urinalysis & Urine Tests in Pontiac, IL?
Medicaid reimbursement for Urinalysis & Urine Tests in Pontiac, IL ranges from $2.16 to $2.79 per claim, with an average of $2.36. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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