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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
Logan, UT $5.77 $0.00 – $6.22 24,993 16
Monticello, KY $4.85 $0.11 – $8.38 25,093 25
Jefferson City, MO $22.66 $0.10 – $308.52 25,127 32
Norwich, NY $7.26 $4.30 – $7.26 25,158 2
Jackson, KY $2.46 $0.18 – $7.51 25,159 13
Apache Junction, AZ $0.16 $0.04 – $3.14 25,159 6
Elkton, MD $3.85 $0.00 – $19.83 25,162 13
Hope Mills, NC $4.13 $0.89 – $4.81 25,178 7
Mount Vernon, KY $4.15 $0.86 – $4.43 25,215 10
Ponca City, OK $3.16 $0.67 – $7.66 25,230 18
Fishers, IN $2.11 $0.46 – $22.96 25,235 41
Christiansted, St. Croix, VI $22.08 $22.08 – $22.08 25,235 1
Panama City, FL $2.43 $0.00 – $86.62 25,301 61
South Haven, MI $0.93 $0.76 – $2.71 25,364 2
Alabaster, AL $3.14 $0.00 – $5.64 25,383 26
St Louis Park, MN $4.75 $0.00 – $23.13 25,406 45
Massillon, OH $2.90 $0.07 – $40.44 25,415 34
San Ysidro, CA $0.56 $0.00 – $3.67 25,427 23
Madison, AL $2.79 $0.00 – $10.44 25,536 32
Greeneville, TN $1.63 $0.00 – $4.42 25,574 48
Lillington, NC $2.66 $0.62 – $7.29 25,601 17
Lake Elsinore, CA $0.38 $0.00 – $1.34 25,615 15
West Bend, WI $5.17 $1.31 – $8.36 25,616 9
Front Royal, VA $2.72 $1.34 – $18.13 25,619 6
Petaluma, CA $2.24 $0.12 – $3.31 25,658 24
Boaz, AL $4.35 $1.19 – $5.49 25,687 26
Rahway, NJ $2.67 $0.00 – $5.13 25,706 6
Osage Beach, MO $29.61 $0.00 – $244.97 25,754 29
Rialto, CA $0.18 $0.00 – $1.90 25,769 22
Independence, LA $3.70 $0.00 – $6.15 25,788 17
Tappahannock, VA $0.68 $0.63 – $4.90 25,871 4
Irvine, CA $0.61 $0.00 – $8.04 25,922 58
Pulaski, VA $0.58 $0.38 – $6.34 25,929 4
Cuyahoga Falls, OH $1.23 $0.00 – $13.83 25,930 28
Jefferson City, TN $1.32 $0.35 – $12.75 25,936 30
Antigo, WI $4.62 $1.33 – $4.79 25,940 3
Woodstock, VA $1.73 $1.73 – $1.73 25,967 1
East Hartford, CT $2.05 $0.00 – $5.24 26,013 22
Ravenna, OH $1.04 $0.00 – $24.71 26,050 24
La Palma, CA $2.49 $0.63 – $3.37 26,123 8
Hollywood, CA $1.93 $0.17 – $3.80 26,193 5
Saint Joseph, MO $63.03 $0.00 – $318.26 26,199 63
Paramount, CA $1.33 $0.00 – $2.45 26,208 24
Hixson, TN $2.36 $0.27 – $5.55 26,218 34
Ruidoso, NM $7.78 $2.22 – $8.19 26,223 11
Mcminnville, TN $2.09 $0.28 – $4.17 26,224 33
Portsmouth, NH $1.80 $0.00 – $7.92 26,256 16
Lebanon, TN $1.54 $0.01 – $4.23 26,284 46
Redford, MI $2.84 $0.00 – $4.77 26,294 8
Southgate, MI $2.12 $0.00 – $3.95 26,338 16

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.