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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
Paradise, CA $3.16 $0.02 – $4.90 8,514 10
Wesley Chapel, FL $1.62 $0.00 – $4.82 8,527 22
Ocean, NJ $1.02 $0.12 – $11.08 8,536 7
Leonardtown, MD $2.11 $0.00 – $4.33 8,536 13
Franklin, NH $2.21 $1.48 – $2.23 8,541 2
Fort Campbell, KY $1.01 $0.00 – $5.90 8,549 22
Warner Robins, GA $4.32 $1.00 – $7.65 8,549 26
Forrest City, AR $4.60 $1.07 – $7.03 8,554 7
Waynesboro, TN $1.61 $0.46 – $1.80 8,557 10
Pleasant Hill, MO $43.22 $2.24 – $43.48 8,560 2
Perry, FL $1.06 $0.00 – $27.29 8,563 17
Madison, TN $1.92 $0.04 – $5.20 8,584 14
New Canton, VA $1.68 $0.44 – $2.94 8,585 4
Pawtucket, RI $3.40 $0.03 – $11.81 8,587 30
Harvey, LA $3.47 $0.07 – $7.24 8,591 15
North Palm Beach, FL $0.49 $0.49 – $0.49 8,606 1
Morton, MS $3.11 $0.00 – $4.28 8,609 6
Camden, TN $3.11 $0.16 – $5.76 8,618 13
Mooresville, NC $3.10 $0.31 – $10.15 8,619 33
Monticello, AR $0.76 $0.00 – $2.73 8,619 11
Nederland, TX $3.52 $0.00 – $3.55 8,633 5
Black River Falls, WI $3.49 $1.78 – $3.50 8,634 2
Bellefontaine, OH $3.63 $0.00 – $14.22 8,647 19
Plainview, TX $5.86 $0.00 – $13.24 8,651 17
Hilmar, CA $2.15 $0.80 – $2.66 8,659 4
West Nyack, NY $3.56 $0.00 – $35.26 8,682 13
Washington, MO $22.32 $0.09 – $331.96 8,709 31
Tabor City, NC $3.19 $1.27 – $3.75 8,713 2
Cedar Falls, IA $2.98 $0.00 – $15.77 8,717 15
Ripley, TN $4.77 $0.71 – $13.65 8,736 12
Pembroke, NC $3.57 $0.91 – $7.42 8,741 22
Carlisle, PA $1.51 $0.00 – $7.01 8,742 16
Brighton, MI $2.26 $0.65 – $2.95 8,753 11
Plymouth, IN $2.58 $0.61 – $7.23 8,757 12
Pennington Gap, VA $1.68 $0.81 – $7.70 8,771 7
Avon, CT $1.18 $0.00 – $5.24 8,788 40
Sharon, CT $0.81 $0.20 – $1.42 8,789 6
Littleton, NH $2.26 $1.07 – $5.06 8,792 9
Manistique, MI $1.74 $1.74 – $1.74 8,792 1
Germantown, MD $3.13 $0.00 – $31.70 8,799 23
Stoughton, WI $4.09 $4.09 – $4.09 8,803 1
Livermore, CA $4.90 $0.02 – $7.39 8,803 3
Charleston, MS $2.81 $0.93 – $3.07 8,803 6
Ravenswood, WV $14.42 $0.33 – $78.03 8,825 6
Montrose, CO $1.97 $0.00 – $16.30 8,829 24
Buena Park, CA $1.64 $0.00 – $3.16 8,839 9
Alexander City, AL $2.29 $0.26 – $11.91 8,841 17
Fayetteville, GA $3.34 $0.17 – $6.71 8,847 9
Prairie Du Sac, WI $8.20 $8.20 – $8.20 8,852 1
Cut Off, LA $2.72 $0.00 – $3.95 8,862 12

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.