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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
South Holland, IL $1.12 $0.02 – $4.70 10,402 8
Spring Hill, TN $0.58 $0.00 – $2.29 10,414 7
Bennington, VT $7.91 $0.00 – $14.23 10,417 12
East China, MI $0.39 $0.36 – $2.02 10,435 2
Central City, KY $4.85 $0.22 – $5.51 10,439 11
Woodruff, WI $5.27 $0.58 – $10.28 10,441 2
Port Arthur, TX $4.94 $1.10 – $15.55 10,453 14
Orland Park, IL $3.50 $1.64 – $5.86 10,470 22
Tazewell, VA $1.21 $0.40 – $5.85 10,475 5
Columbus, TX $0.56 $0.00 – $7.11 10,476 7
Lamont, CA $1.64 $0.05 – $2.77 10,491 14
Auburn, AL $1.75 $0.00 – $5.90 10,493 18
West Bridgewater, MA $2.12 $1.59 – $2.34 10,499 10
Amery, WI $4.26 $0.00 – $5.03 10,500 9
Marlette, MI $0.45 $0.37 – $0.46 10,522 2
Jenkintown, PA $9.63 $9.63 – $9.63 10,533 1
Marion, NC $4.84 $1.85 – $6.53 10,550 12
Berkley, MI $2.04 $0.08 – $3.23 10,558 4
San Ramon, CA $2.31 $0.06 – $4.37 10,561 10
New Milford, CT $0.05 $0.00 – $1.48 10,568 11
Woodburn, OR $4.96 $0.00 – $11.60 10,573 11
Orange Cove, CA $0.10 $0.00 – $0.56 10,586 7
Green Valley, AZ $0.03 $0.00 – $2.35 10,599 6
Monroe, WI $10.26 $1.38 – $10.37 10,609 5
Medina, OH $1.36 $0.00 – $5.95 10,612 22
North Conway, NH $3.04 $0.00 – $15.44 10,612 6
Cleveland, TX $2.25 $0.01 – $2.63 10,633 9
Burley, ID $3.97 $0.00 – $7.49 10,638 11
Antioch, TN $1.64 $0.85 – $3.59 10,682 13
Van Wert, OH $3.24 $0.00 – $6.16 10,699 11
Concord, MA $2.93 $0.37 – $10.34 10,701 5
Claremont, NH $2.13 $2.12 – $8.61 10,706 3
Sitka, AK $329.80 $2.28 – $334.80 10,708 4
Oxford, OH $2.97 $0.00 – $6.10 10,715 21
Morganton, NC $4.51 $0.00 – $9.98 10,726 38
Oak Creek, WI $2.40 $1.42 – $5.74 10,732 10
Spring Valley, NY $1.35 $0.22 – $3.01 10,745 12
Greenlawn, NY $0.62 $0.02 – $2.22 10,758 11
Margate, FL $1.20 $0.00 – $1.85 10,771 17
Camarillo, CA $10.54 $0.00 – $14.38 10,775 13
Pikesville, MD $2.13 $0.00 – $69.98 10,786 11
Needham, MA $3.93 $2.03 – $4.55 10,802 4
Altadena, CA $3.24 $2.55 – $4.65 10,804 5
Edenton, NC $2.85 $0.46 – $4.90 10,807 11
Eastpointe, MI $3.31 $0.00 – $6.51 10,819 5
Borrego Springs, CA $0.65 $0.00 – $1.04 10,820 4
Juneau, AK $3.00 $0.00 – $7.59 10,839 5
Austell, GA $3.15 $0.00 – $8.00 10,839 12
Mcalester, OK $14.63 $1.93 – $325.26 10,842 13
Guanica, PR $3.69 $0.17 – $4.21 10,843 5

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.