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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
Glendale, NY $2.40 $0.45 – $3.20 10,862 4
Hazleton, PA $3.20 $0.14 – $6.77 10,879 23
Bluffton, IN $3.70 $1.64 – $25.52 10,884 5
Bolingbrook, IL $1.22 $0.00 – $3.11 10,885 11
Clintwood, VA $1.18 $0.96 – $6.70 10,890 5
Lafayette, TN $1.34 $0.99 – $1.57 10,893 10
Franklin Park, IL $4.42 $2.60 – $4.45 10,923 2
Cambridge, MD $2.30 $0.00 – $4.12 10,925 9
Cadiz, KY $15.51 $0.64 – $15.74 10,935 4
Wethersfield, CT $0.15 $0.00 – $0.86 10,967 14
Colusa, CA $1.81 $0.00 – $3.72 10,982 6
Riverton, UT $9.23 $0.00 – $9.48 10,983 5
Standish, MI $0.29 $0.27 – $1.25 10,987 3
Kannapolis, NC $3.72 $0.18 – $6.93 10,993 15
Waltham, MA $3.21 $0.11 – $5.28 11,034 6
Amherst, OH $4.33 $0.33 – $15.86 11,038 10
Carson City, NV $0.24 $0.00 – $8.30 11,058 15
Berlin, WI $4.06 $4.05 – $7.94 11,066 2
Ketchikan, AK $22.07 $0.00 – $22.18 11,083 4
Lincolnton, NC $4.44 $1.27 – $11.57 11,100 27
Saint Petersburg, FL $2.75 $0.00 – $15.61 11,129 16
Haymarket, VA $0.47 $0.31 – $1.88 11,130 3
Troy, NC $2.56 $1.16 – $4.44 11,164 6
Pacoima, CA $0.22 $0.00 – $2.38 11,173 9
Frostproof, FL $2.50 $0.00 – $2.62 11,181 5
East Cleveland, OH $1.96 $0.00 – $6.11 11,186 8
Fort Smith, AR $1.43 $0.00 – $6.35 11,201 48
Mentor, OH $5.03 $0.00 – $21.15 11,207 30
Ruleville, MS $3.20 $1.32 – $3.23 11,209 4
Dulles, VA $1.27 $0.34 – $2.76 11,238 4
Eupora, MS $3.08 $1.24 – $3.10 11,269 2
Winfield, AL $3.67 $1.10 – $16.48 11,271 9
Sonoma, CA $2.80 $0.07 – $4.91 11,293 8
Scottsville, KY $4.82 $0.17 – $5.02 11,296 8
Orem, UT $10.60 $0.00 – $11.94 11,337 7
Lihue, HI $0.51 $0.18 – $10.28 11,339 12
Lisbon, OH $3.20 $0.64 – $5.38 11,342 11
Grand Island, NE $3.25 $0.00 – $7.25 11,349 40
Livingston, TX $4.25 $1.83 – $23.06 11,352 9
Litchfield, IL $0.00 $0.00 – $0.00 11,352 2
Live Oak, TX $4.22 $0.02 – $9.37 11,358 15
Scottsbluff, NE $4.16 $0.00 – $11.54 11,365 19
Pickerington, OH $4.22 $0.12 – $5.96 11,376 10
New Martinsville, WV $16.44 $1.57 – $52.25 11,380 7
Santa Paula, CA $1.32 $0.00 – $2.69 11,383 10
Davison, MI $2.84 $1.04 – $3.68 11,390 5
Lancaster, PA $2.48 $0.00 – $9.16 11,394 60
Barnwell, SC $2.94 $0.00 – $6.53 11,394 11
Pasadena, MD $0.67 $0.00 – $3.06 11,403 10
Hannibal, MO $28.88 $0.00 – $102.71 11,405 20

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.