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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
Tenafly, NJ $1.19 $0.35 – $2.26 8,145 16
O Fallon, IL $3.11 $0.02 – $5.10 8,150 8
Oconomowoc, WI $3.84 $2.03 – $3.87 8,153 5
Brevard, NC $3.53 $0.00 – $5.40 8,155 16
Durango, CO $5.27 $0.00 – $26.90 8,159 41
Riverdale, MD $2.46 $0.00 – $2.74 8,166 5
Berlin, NH $2.16 $1.55 – $2.16 8,169 2
Prairieville, LA $2.48 $0.00 – $6.16 8,177 19
Hutchinson, KS $3.05 $0.89 – $13.09 8,184 19
Leavenworth, KS $2.75 $0.00 – $9.73 8,184 12
Cedarhurst, NY $2.13 $0.75 – $3.84 8,197 15
Raeford, NC $1.76 $0.97 – $6.57 8,202 18
Sandy, UT $5.45 $0.00 – $6.81 8,204 9
Rexburg, ID $2.18 $0.00 – $7.73 8,205 16
Cheyenne, WY $2.62 $0.00 – $7.90 8,211 27
North Miami Beach, FL $1.15 $0.00 – $4.71 8,243 25
Wauwatosa, WI $2.02 $0.00 – $7.52 8,254 16
Lockport, IL $2.12 $2.12 – $2.12 8,256 1
Sulphur Springs, TX $2.59 $1.88 – $13.68 8,258 12
Wolf Point, MT $0.36 $0.36 – $0.36 8,267 1
New Berlin, WI $6.41 $1.23 – $66.49 8,285 14
West Springfield, MA $5.31 $2.45 – $6.98 8,288 13
Marble Falls, TX $3.41 $1.58 – $11.86 8,292 14
Linwood, NJ $0.47 $0.15 – $1.92 8,298 14
Elizabethtown, NY $8.45 $8.45 – $8.45 8,300 1
Scarsdale, NY $3.11 $2.27 – $4.38 8,323 8
Bedford, TX $2.80 $0.00 – $9.65 8,326 16
Wheelersburg, OH $3.37 $0.00 – $6.27 8,327 21
Lake Mary, FL $3.65 $0.00 – $61.39 8,338 21
Yukon, OK $4.27 $0.00 – $11.96 8,342 20
Mansfield, MA $0.79 $0.54 – $3.50 8,350 4
Brookline, MA $4.63 $1.58 – $14.16 8,359 11
Cedar Hill, TX $2.27 $1.03 – $8.16 8,363 9
Maynardville, TN $1.85 $0.48 – $4.12 8,364 14
Quitman, MS $3.40 $3.40 – $3.40 8,364 1
Payson, UT $6.74 $0.00 – $7.52 8,368 4
Liberty, KY $20.63 $0.20 – $24.25 8,389 8
Bristol, PA $1.08 $0.00 – $3.40 8,392 7
Kilmarnock, VA $1.68 $0.51 – $6.80 8,400 4
Oconto, WI $4.52 $3.06 – $6.46 8,422 3
Seaman, OH $3.04 $0.00 – $26.60 8,435 5
Pahala, HI $2.74 $2.74 – $2.74 8,449 1
Kent, WA $7.31 $0.00 – $10.16 8,454 26
Bonne Terre, MO $47.84 $1.29 – $74.29 8,490 4
North Miami, FL $0.71 $0.00 – $6.05 8,493 15
California, MD $4.01 $1.47 – $5.79 8,494 7
Elizabethtown, NC $3.05 $0.38 – $6.65 8,497 13
Carrizo Springs, TX $2.37 $0.31 – $11.67 8,501 6
Reidsville, NC $4.94 $1.37 – $7.63 8,502 10
Plain Dealing, LA $0.03 $0.00 – $0.04 8,511 3

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.