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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
Angola, IN $2.20 $0.68 – $4.30 7,441 13
Sandusky, MI $0.75 $0.00 – $7.13 7,443 4
Dunedin, FL $0.90 $0.00 – $1.30 7,444 6
Wheat Ridge, CO $1.07 $0.00 – $50.33 7,458 38
Pinellas Park, FL $0.51 $0.00 – $2.29 7,464 11
Lebanon, OH $0.79 $0.00 – $3.24 7,465 9
Canyon Country, CA $1.15 $0.26 – $7.00 7,473 4
Emerson, NJ $3.64 $0.39 – $4.00 7,475 3
Newport, WA $13.49 $3.48 – $14.20 7,477 4
Dover, FL $0.07 $0.06 – $1.28 7,478 4
Lake Success, NY $3.13 $1.06 – $3.38 7,500 7
Hastings, NE $3.20 $0.00 – $12.01 7,504 14
Dennison, OH $2.11 $0.27 – $2.70 7,506 4
Mount Vernon, IL $1.55 $0.00 – $5.09 7,511 14
Bolivar, TN $1.81 $0.00 – $4.22 7,511 15
Williston Park, NY $2.18 $2.16 – $2.93 7,516 3
Columbus, WI $4.37 $4.37 – $4.37 7,520 1
Eatonton, GA $2.48 $0.97 – $2.48 7,520 2
Carmel, NY $0.80 $0.36 – $10.26 7,523 12
Sidney, MT $1.29 $1.29 – $1.29 7,529 1
Jasper, TX $3.08 $0.00 – $3.87 7,540 7
Huntersville, NC $4.39 $0.10 – $8.45 7,544 30
Hamilton, NY $12.33 $0.02 – $147.42 7,563 3
Wetumpka, AL $2.23 $0.02 – $3.52 7,568 9
Dillingham, AK $177.94 $177.94 – $177.94 7,573 1
Alamosa, CO $7.06 $0.00 – $46.44 7,595 14
Bellaire, TX $6.46 $0.99 – $31.87 7,596 11
Sicily Island, LA $0.14 $0.00 – $0.60 7,596 5
Hot Springs, AR $1.84 $0.00 – $54.42 7,620 35
Winnetka, CA $0.28 $0.00 – $2.62 7,625 9
Pittsburg, CA $1.03 $0.00 – $4.02 7,627 12
Bishop, CA $6.99 $0.00 – $7.30 7,631 7
Greenfield, OH $0.94 $0.27 – $4.16 7,638 5
Kerrville, TX $4.36 $0.80 – $12.23 7,639 18
Draper, UT $3.63 $0.00 – $7.57 7,641 7
Moorpark, CA $1.13 $0.04 – $3.48 7,650 6
Christopher, IL $0.00 $0.00 – $0.00 7,673 1
Chelsea, MI $0.38 $0.29 – $2.36 7,673 4
Smyrna, GA $3.98 $0.00 – $4.14 7,681 5
Pell City, AL $2.59 $0.12 – $4.40 7,683 19
Ada, OK $4.77 $0.77 – $24.47 7,684 26
Vonore, TN $1.10 $1.01 – $1.75 7,685 8
Claremore, OK $3.89 $2.04 – $8.42 7,696 17
Winter Park, FL $2.58 $0.00 – $6.21 7,699 25
Clemmons, NC $4.75 $0.00 – $8.83 7,704 19
Burgaw, NC $3.45 $0.91 – $4.17 7,713 6
Cypress, TX $4.88 $0.00 – $47.74 7,714 22
Florissant, MO $37.68 $0.43 – $163.88 7,717 29
Fresh Meadows, NY $5.46 $0.56 – $8.51 7,717 11
Stanley, ND $2.98 $2.98 – $2.98 7,723 1

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.