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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
West Seneca, NY $2.15 $0.59 – $4.10 14,647 30
Tomah, WI $4.68 $2.20 – $4.69 14,654 2
Little Falls, NY $19.79 $19.79 – $19.79 14,656 1
Pine Bluff, AR $2.63 $0.00 – $16.57 14,668 29
Huntington, IN $2.60 $0.00 – $5.25 14,670 19
Quincy, MA $4.36 $0.00 – $6.44 14,678 19
Greenfield, CA $1.26 $1.19 – $2.26 14,727 4
Demopolis, AL $2.37 $0.00 – $6.12 14,746 11
League City, TX $4.07 $2.23 – $15.36 14,765 11
Luray, VA $3.76 $0.59 – $3.99 14,778 4
Sahuarita, AZ $0.13 $0.00 – $5.41 14,800 4
Springfield, TN $2.34 $0.00 – $21.15 14,819 23
Templeton, CA $0.96 $0.00 – $4.84 14,829 19
Jackson, CA $7.13 $1.58 – $7.28 14,835 6
Elkin, NC $3.39 $0.69 – $8.09 14,863 28
Nacogdoches, TX $3.12 $0.03 – $8.50 14,874 29
Richmond Heights, OH $0.64 $0.00 – $5.21 14,898 13
Hazlehurst, MS $3.63 $0.00 – $3.70 14,906 5
Moore, OK $4.41 $0.00 – $8.44 14,907 32
Madison, IN $2.82 $0.81 – $7.23 14,921 16
Ironwood, MI $1.97 $1.89 – $4.01 14,928 2
Chardon, OH $1.28 $0.10 – $6.84 14,937 14
Page, AZ $0.15 $0.00 – $1.92 14,981 6
Charlevoix, MI $0.78 $0.06 – $2.87 14,995 6
Hornell, NY $16.57 $1.97 – $19.04 14,996 4
Milford, OH $0.75 $0.11 – $5.60 15,004 20
Wasco, CA $3.29 $0.00 – $11.57 15,015 13
Sidney, OH $5.49 $0.00 – $24.33 15,057 14
Jamestown, TN $1.91 $0.72 – $2.86 15,060 14
Lincoln, ME $1.82 $0.68 – $3.20 15,074 3
Luling, LA $3.10 $0.00 – $5.50 15,083 18
Egg Harbor Township, NJ $0.25 $0.20 – $2.91 15,088 11
Langhorne, PA $0.76 $0.24 – $5.15 15,092 13
Evans, CO $0.20 $0.00 – $27.37 15,107 30
Clinton, IA $3.49 $0.00 – $8.13 15,146 36
Washington, IN $2.86 $1.19 – $5.53 15,150 19
Gallatin, TN $1.86 $0.00 – $25.11 15,167 35
Hazel Park, MI $2.69 $1.74 – $3.10 15,182 5
Pataskala, OH $1.86 $0.77 – $6.79 15,186 6
Lone Tree, CO $3.71 $0.00 – $33.00 15,207 37
West Memphis, AR $3.14 $0.00 – $5.39 15,229 20
Warwick, RI $6.76 $0.00 – $205.62 15,230 37
South San Francisco, CA $1.97 $0.00 – $3.80 15,237 7
Foley, AL $2.08 $0.06 – $4.94 15,249 22
Sleepy Hollow, NY $1.15 $0.53 – $2.71 15,252 7
Shelby, MI $1.98 $0.19 – $2.10 15,262 3
Carthage, MS $2.97 $0.00 – $38.57 15,273 10
Atascadero, CA $2.75 $0.04 – $3.44 15,319 7
Homer, LA $1.27 $0.00 – $3.22 15,329 13
Union City, NJ $0.75 $0.00 – $3.17 15,374 11

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.