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Based on public Medicaid payment data.

Average Medicaid Urinalysis & Urine Tests Payments

Typical Medicaid Urinalysis & Urine Tests reimbursement across 8,570 cities

Avg. Medicaid Paid

$3.72

Price Range

$0.00 – $565.62

Total Claims

265.6M

Cities

8570

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.

About This Procedure

Laboratory analysis of urine to detect disorders like urinary tract infections, kidney disease, and diabetes.

Why do these costs look low?

These figures represent Medicaid reimbursement rates β€” the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.

Costs by City

City Avg. Paid Min / Max Claims Providers
Elko, NV $0.36 $0.00 – $4.11 5,415 10
Brown Deer, WI $7.12 $1.54 – $7.13 5,423 2
West Orange, NJ $1.34 $0.00 – $5.60 5,433 14
Longwood, FL $5.70 $0.00 – $29.94 5,434 7
Crystal City, MO $58.82 $35.26 – $151.69 5,436 7
Irvington, NJ $1.84 $0.66 – $2.19 5,440 4
Piqua, OH $6.84 $1.86 – $9.60 5,441 6
Great Barrington, MA $14.65 $1.98 – $16.01 5,446 4
Clinton, LA $0.10 $0.00 – $3.17 5,450 18
Pearisburg, VA $4.74 $2.33 – $4.78 5,450 2
Harker Heights, TX $4.58 $1.79 – $13.25 5,453 9
Napoleon, OH $1.67 $0.04 – $6.36 5,458 4
Damascus, MD $2.90 $0.40 – $4.51 5,458 13
Palisades Park, NJ $0.73 $0.66 – $0.81 5,464 3
Siler City, NC $4.06 $2.01 – $7.53 5,468 8
Wild Rose, WI $3.81 $3.81 – $3.81 5,474 1
Astoria, OR $12.50 $1.64 – $21.28 5,475 11
Calabasas, CA $1.79 $0.50 – $4.99 5,480 6
Newman, CA $1.13 $0.00 – $1.95 5,481 3
Angier, NC $3.52 $2.55 – $3.99 5,483 2
Houston, MO $41.03 $2.45 – $555.67 5,493 10
Haleyville, AL $2.70 $0.38 – $3.97 5,495 10
Enid, OK $4.11 $0.00 – $7.66 5,496 17
Munfordville, KY $1.99 $0.00 – $2.57 5,497 12
Alcoa, TN $2.12 $0.16 – $3.36 5,502 17
South Windsor, CT $0.59 $0.00 – $5.36 5,509 28
Hawkinsville, GA $0.27 $0.23 – $3.59 5,515 2
Westfield, NY $1.46 $0.69 – $4.10 5,526 2
Punta Santiago, PR $3.42 $3.42 – $3.42 5,531 1
Flossmoor, IL $3.43 $2.31 – $3.98 5,532 4
Lincoln, RI $1.74 $0.02 – $2.33 5,534 7
Spooner, WI $2.26 $2.18 – $18.11 5,537 2
Bremerton, WA $7.78 $1.69 – $16.62 5,542 17
Gonzales, CA $1.83 $1.18 – $5.85 5,544 5
Menifee, CA $0.81 $0.00 – $4.39 5,558 14
Gray, TN $0.94 $0.67 – $4.01 5,565 10
Old Greenwich, CT $1.27 $0.01 – $2.91 5,567 7
Murphy, NC $2.18 $0.75 – $16.72 5,571 8
Cleburne, TX $2.85 $1.45 – $6.65 5,576 10
North Augusta, SC $2.54 $1.16 – $3.02 5,576 17
Clifton Springs, NY $5.15 $2.07 – $5.36 5,590 3
Mason, OH $4.79 $0.00 – $6.05 5,591 15
Tualatin, OR $4.26 $0.00 – $10.22 5,593 18
Deerfield Beach, FL $1.16 $0.00 – $28.05 5,602 9
Sandy Springs, GA $8.41 $0.10 – $20.43 5,604 3
Broussard, LA $2.89 $0.83 – $3.50 5,606 6
Conneaut, OH $0.78 $0.00 – $23.10 5,608 6
Elmwood Park, IL $2.60 $0.00 – $2.62 5,612 3
Tuskegee, AL $2.57 $0.00 – $2.75 5,619 4
Williston, ND $1.92 $0.45 – $8.99 5,626 14

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

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 β€” β€” β€”

These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.