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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
Olney, IL $1.54 $0.00 – $5.02 13,272 6
Cherry Hill, NJ $2.44 $0.00 – $8.72 13,294 33
Gibsonton, FL $0.56 $0.01 – $0.65 13,308 2
Darien, IL $2.82 $2.82 – $2.82 13,310 1
Mamou, LA $2.05 $0.00 – $4.10 13,324 10
Youngsville, LA $3.41 $0.00 – $3.77 13,342 7
Milan, TN $2.09 $0.07 – $3.77 13,344 9
Indianola, MS $2.34 $0.00 – $2.61 13,353 8
Durant, OK $3.80 $1.60 – $51.17 13,422 21
Williamsport, PA $3.09 $0.00 – $8.47 13,445 38
Shawnee, OK $4.76 $1.63 – $7.66 13,449 22
Sullivan, IN $1.85 $0.63 – $2.52 13,453 12
Pullman, WA $20.55 $0.94 – $22.74 13,463 10
Coral Springs, FL $0.56 $0.00 – $12.50 13,467 45
Dalton, GA $2.64 $0.00 – $8.86 13,476 37
West Plains, MO $13.35 $1.22 – $271.06 13,484 30
Independence, MO $34.54 $0.00 – $447.96 13,489 28
Minot, ND $2.55 $0.00 – $30.59 13,503 27
Orchard Park, NY $1.62 $0.00 – $6.54 13,506 29
Hamden, CT $0.79 $0.00 – $6.74 13,511 25
Fort Defiance, AZ $0.89 $0.00 – $7.97 13,516 17
Tooele, UT $4.70 $0.00 – $5.05 13,526 8
Nanuet, NY $1.35 $0.00 – $9.64 13,540 16
La Follette, TN $1.17 $0.51 – $2.08 13,548 13
Effingham, IL $2.15 $0.00 – $5.17 13,584 6
Jefferson, LA $3.49 $2.96 – $6.17 13,589 5
Keyser, WV $20.50 $3.49 – $32.13 13,598 7
New City, NY $1.96 $0.35 – $5.19 13,604 12
Aberdeen, MS $2.95 $1.21 – $2.95 13,611 2
Charlotte, MI $0.49 $0.23 – $3.39 13,637 3
Anaconda, MT $1.05 $0.00 – $7.36 13,644 3
Central Islip, NY $0.77 $0.75 – $0.78 13,654 2
Searcy, AR $2.55 $0.00 – $4.90 13,711 19
Collins, MS $3.72 $0.00 – $3.85 13,726 6
Westlake Village, CA $0.59 $0.00 – $1.98 13,728 5
Hauppauge, NY $1.57 $0.00 – $6.01 13,729 8
Babylon, NY $2.79 $1.52 – $6.51 13,740 9
Fairhaven, MA $3.61 $0.13 – $4.66 13,747 17
San Joaquin, CA $1.23 $0.24 – $1.80 13,760 3
Las Vegas, NM $5.55 $0.00 – $8.53 13,763 10
Homewood, AL $4.00 $0.03 – $8.21 13,767 13
Jasper, TN $2.57 $0.37 – $4.71 13,767 13
Lafayette, CO $3.73 $0.00 – $30.97 13,776 40
Damariscotta, ME $0.57 $0.57 – $2.35 13,793 4
Winter Garden, FL $2.57 $0.00 – $11.34 13,801 19
Shelbyville, TN $1.31 $0.12 – $4.58 13,811 23
Fremont, OH $2.02 $0.00 – $27.47 13,826 11
Burkesville, KY $9.16 $0.35 – $9.51 13,831 3
Carrollton, TX $3.23 $0.00 – $8.30 13,867 24
North Richland Hills, TX $2.84 $0.80 – $3.73 13,877 13

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.