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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
Commack, NY $3.08 $0.76 – $3.51 26,341 19
Kailua Kona, HI $0.79 $0.00 – $9.11 26,345 12
Waxahachie, TX $3.52 $0.00 – $58.63 26,359 17
Sherwood, AR $0.97 $0.66 – $3.22 26,362 6
Bolivia, NC $5.01 $0.56 – $12.44 26,378 26
Lincoln Park, MI $2.90 $0.26 – $3.74 26,378 6
Clarkston, WA $8.46 $0.00 – $9.67 26,387 10
Columbia, KY $2.77 $0.10 – $6.60 26,397 14
Granite City, IL $1.00 $0.00 – $17.56 26,422 8
Jasper, AL $2.21 $0.00 – $5.16 26,469 37
Iron Mountain, MI $1.72 $0.82 – $6.21 26,502 5
Willingboro, NJ $2.64 $1.70 – $7.32 26,511 7
Ashtabula, OH $3.28 $0.00 – $7.26 26,545 24
West Chester, OH $1.65 $0.00 – $13.76 26,548 34
Parma, OH $3.13 $0.00 – $196.07 26,596 33
Lanham, MD $8.18 $0.03 – $16.57 26,843 8
Dover Foxcroft, ME $0.32 $0.26 – $1.77 26,964 4
Port St Lucie, FL $0.69 $0.00 – $10.77 26,969 45
Sanger, CA $0.17 $0.00 – $0.81 26,985 22
Hillsboro, OH $1.90 $0.00 – $22.37 27,024 23
Summersville, WV $16.63 $0.00 – $79.56 27,111 23
Yazoo City, MS $3.41 $0.00 – $4.88 27,118 10
Bay Saint Louis, MS $3.23 $0.00 – $4.76 27,127 5
La Grange, KY $3.45 $0.13 – $7.29 27,161 15
Gig Harbor, WA $0.24 $0.13 – $13.85 27,181 12
Freeport, NY $1.23 $0.05 – $3.70 27,213 15
Sweetwater, TN $2.05 $0.15 – $4.00 27,265 18
Hamtramck, MI $2.47 $0.54 – $6.18 27,288 16
Little River, SC $3.46 $0.10 – $3.82 27,309 12
Oak Park, MI $3.51 $0.00 – $3.55 27,312 4
Hudson, NY $2.63 $1.07 – $17.50 27,335 9
Sulphur, LA $3.29 $0.21 – $5.07 27,340 22
West Monroe, LA $2.85 $0.00 – $5.41 27,389 39
Bronxville, NY $3.02 $1.71 – $3.05 27,409 4
Presque Isle, ME $0.36 $0.08 – $0.37 27,510 3
Chester, SC $16.45 $0.43 – $23.19 27,521 12
Huntington, NY $2.63 $0.27 – $4.45 27,526 17
Sanford, FL $0.69 $0.00 – $3.25 27,535 19
Fort Thomas, KY $2.09 $0.00 – $4.42 27,545 9
Mount Vernon, NY $6.34 $0.00 – $23.36 27,557 20
Benton, AR $9.14 $0.00 – $9.61 27,643 11
Paris, TN $1.42 $0.19 – $5.26 27,681 28
Wheeling, IL $2.42 $0.02 – $5.42 27,697 9
Sherman Oaks, CA $1.74 $0.00 – $3.27 27,770 19
Poway, CA $18.02 $0.06 – $20.82 27,797 5
Philadelphia, MS $3.52 $0.40 – $3.53 27,856 3
Monsey, NY $2.10 $0.00 – $3.38 27,857 11
Lindenhurst, NY $1.83 $1.52 – $2.56 27,861 10
Canton, IL $2.54 $0.00 – $70.90 27,868 6
Alliance, OH $2.30 $0.00 – $13.75 27,919 26

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.