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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
Donaldsonville, LA $0.15 $0.00 – $3.10 15,381 6
Ironton, OH $2.57 $0.00 – $8.34 15,383 30
Stockbridge, GA $3.68 $0.00 – $6.80 15,428 26
Bunkie, LA $3.73 $0.00 – $4.32 15,487 7
Harrisville, MI $1.15 $1.12 – $1.15 15,488 2
Crown Point, IN $2.63 $0.00 – $8.59 15,504 43
Weatherford, TX $3.10 $1.42 – $4.16 15,518 13
Pontotoc, MS $2.67 $1.34 – $3.41 15,520 5
Fairhope, AL $2.43 $1.00 – $4.33 15,545 29
Novato, CA $4.75 $1.88 – $4.98 15,546 4
Savannah, TN $2.59 $1.02 – $4.27 15,569 24
Caldwell, ID $3.96 $0.00 – $7.75 15,575 19
Hardin, MT $0.11 $0.00 – $1.73 15,659 5
Bogalusa, LA $2.86 $0.00 – $4.78 15,660 28
Jackson, OH $2.59 $0.00 – $53.69 15,674 15
Marshalltown, IA $0.27 $0.00 – $10.08 15,683 20
Redmond, OR $2.20 $0.00 – $11.67 15,746 71
Brighton, MA $3.81 $0.29 – $5.21 15,765 14
Many, LA $1.74 $0.00 – $3.29 15,774 15
Union City, TN $1.84 $0.53 – $3.65 15,818 29
Clackamas, OR $3.20 $0.00 – $7.98 15,820 46
Shelbyville, IN $3.02 $0.32 – $5.97 15,842 33
Tavares, FL $1.03 $0.00 – $9.04 15,867 16
Ashland, WI $3.69 $0.54 – $3.70 15,872 3
Ridgecrest, CA $3.54 $0.00 – $4.12 15,889 19
Altus, OK $3.35 $1.67 – $8.22 15,902 17
Malta, NY $0.27 $0.27 – $0.27 15,907 1
Lexington, NC $3.02 $0.00 – $7.24 15,924 36
Coulmbia, SC $8.42 $8.42 – $8.42 15,936 1
Washington Court House, OH $2.74 $0.00 – $5.47 15,937 18
Maricopa, AZ $3.27 $0.00 – $7.12 15,959 8
Ridgewood, NY $3.78 $1.63 – $4.11 15,960 5
Amherst, NY $3.44 $0.00 – $5.24 15,975 24
Grand Junction, CO $5.59 $0.00 – $89.22 16,005 63
Mount Morris, MI $2.81 $2.04 – $2.86 16,030 3
Freedom, CA $1.23 $0.71 – $2.62 16,035 5
Georgetown, IN $2.78 $2.04 – $3.03 16,053 4
Kealakekua, HI $0.06 $0.06 – $0.06 16,065 1
Comerio, PR $3.26 $2.52 – $3.32 16,097 3
Denison, TX $3.38 $1.82 – $6.98 16,104 12
Millington, TN $2.63 $0.04 – $17.80 16,106 19
Millburn, NJ $0.13 $0.09 – $1.14 16,129 5
Hardinsburg, KY $23.42 $0.62 – $24.27 16,145 3
Ronan, MT $0.69 $0.00 – $2.63 16,152 4
Weston, WI $5.55 $0.21 – $6.14 16,200 4
Brea, CA $0.90 $0.01 – $6.77 16,213 7
Elizabethton, TN $3.06 $0.00 – $5.96 16,222 34
Canandaigua, NY $3.56 $2.41 – $6.27 16,274 12
Newport, TN $1.46 $0.50 – $3.85 16,319 30
Huntington Woods, MI $3.34 $1.92 – $3.67 16,327 2

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.