Average Medicaid Urinalysis & Urine Tests Payments in Simpsonville, SC: $13.73
Avg. Paid
$13.73
Range
$1.25 – $17.97
Total Claims
44,936
Providers
17
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 Simpsonville, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prisma Health-Upstate
729 Se Main St |
$17.97 | 32,027 | 30,240 |
|
Caroline J Felty
2801 Woodruff Rd Ste 201 |
$3.18 | 3,256 | 2,870 |
|
Adrienne Charlene Ellis
2801 Woodruff Rd Ste 201 |
$3.22 | 3,190 | 2,803 |
|
Arvin Raheja
210 Ladean Ct |
$2.87 | 2,122 | 1,352 |
|
Michael R Rupp
408 Se Main Street |
$2.12 | 1,142 | 1,090 |
|
Joni Marie Coker
1409 W Georgia Rd Ste D |
$5.85 | 1,114 | 1,052 |
|
Miriam Faith Criswell
727 Se Main St Ste 120 |
$2.07 | 878 | 580 |
|
Daniel Walter Brake
300 Scuffletown Rd |
$2.55 | 813 | 788 |
|
Greenville Health System
729 Se Main St |
$11.45 | 123 | 106 |
|
Kellie D Thompson
1338 Highway 14 |
$1.25 | 72 | 66 |
|
Minuteclinic Diagnostic South Carolina Llc
698 Fairview Rd |
$2.31 | 68 | 66 |
|
Keri Rexroad
3930 Grandview Dr |
$1.60 | 50 | 48 |
|
Jeffrey Julian Del Real
35 Ray E Talley Ct |
$1.25 | 26 | 25 |
|
Christina Dicarlo Smith
35 Ray E Talley Ct |
$1.46 | 18 | 18 |
|
Carole Irene Mercer
312 Harrison Bridge Rd |
$2.09 | 13 | 12 |
|
Todd A Roemmich
312 Harrison Bridge Rd |
$2.25 | 12 | 12 |
|
Donna K Johnson
35 Ray E Talley Ct |
$1.45 | 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 Simpsonville, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Urinalysis & Urine Tests in Simpsonville, SC is $13.73 per claim, based on 44,936 claims from 17 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 Simpsonville, SC?
There are 17 Medicaid providers offering Urinalysis & Urine Tests related services in Simpsonville, SC according to public payment data.
What is the price range for Urinalysis & Urine Tests in Simpsonville, SC?
Medicaid reimbursement for Urinalysis & Urine Tests in Simpsonville, SC ranges from $1.25 to $17.97 per claim, with an average of $13.73. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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