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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
Houlton, ME $0.48 $0.31 – $6.47 27,969 5
Hatch, NM $0.19 $0.19 – $0.19 27,974 1
North Andover, MA $3.31 $0.58 – $16.16 27,984 12
Salisbury, NC $3.88 $0.00 – $10.68 28,019 63
Victoria, TX $3.52 $0.00 – $4.96 28,040 26
Coldwater, MI $0.97 $0.11 – $6.62 28,054 12
Shenandoah, TX $6.77 $0.02 – $51.63 28,082 35
Grundy, VA $2.89 $2.31 – $11.65 28,095 6
Hermitage, TN $1.64 $0.00 – $3.42 28,118 37
Norway, ME $0.49 $0.48 – $6.64 28,129 4
Franklin, VA $1.57 $0.75 – $5.61 28,156 11
Anacortes, WA $1.33 $1.04 – $6.94 28,261 7
Garfield Heights, OH $0.77 $0.00 – $3.16 28,265 9
Hamilton, MT $1.26 $1.02 – $3.71 28,287 3
San Angelo, TX $3.26 $0.03 – $16.54 28,307 51
Arvin, CA $1.88 $0.75 – $6.69 28,409 12
Southampton, NY $3.02 $1.90 – $3.23 28,419 5
Ellsworth, ME $0.83 $0.83 – $2.53 28,424 5
Bloomington, MN $1.92 $0.00 – $26.45 28,425 165
Clinton, MD $9.77 $0.00 – $21.14 28,452 14
Lake Orion, MI $4.21 $1.56 – $4.44 28,475 9
Gloucester, VA $1.14 $0.71 – $7.32 28,533 6
Fairfield, CT $1.48 $0.00 – $6.04 28,562 36
Fort Mohave, AZ $0.42 $0.27 – $3.10 28,578 5
Cidra, PR $3.71 $0.00 – $5.91 28,634 7
Williamsville, NY $2.63 $0.00 – $12.88 28,737 51
Skowhegan, ME $0.08 $0.00 – $0.08 28,749 2
Brunswick, GA $0.66 $0.00 – $0.75 28,774 5
Rockport, ME $0.60 $0.51 – $5.08 28,788 4
Merrillville, IN $3.30 $0.88 – $7.44 28,794 43
Texarkana, TX $1.91 $0.00 – $10.32 28,798 44
Amory, MS $3.46 $0.15 – $9.34 28,798 18
Jupiter, FL $4.81 $0.00 – $143.92 28,813 19
North Wilkesboro, NC $4.07 $0.00 – $10.08 28,837 41
Exeter, CA $1.59 $0.00 – $7.21 28,839 11
Pineville, LA $1.75 $0.00 – $5.11 28,845 24
Buckeye, AZ $0.15 $0.01 – $3.42 28,850 12
Kosciusko, MS $1.85 $0.00 – $5.25 28,855 14
Lucedale, MS $2.77 $0.00 – $5.04 28,857 7
Emporia, VA $2.36 $0.69 – $4.80 29,011 12
Ellensburg, WA $20.56 $0.00 – $21.18 29,044 11
Pompton Plains, NJ $3.04 $0.00 – $5.63 29,068 6
Ridgewood, NJ $2.17 $0.05 – $2.25 29,101 4
Sun City, CA $5.33 $2.22 – $5.33 29,166 2
Angleton, TX $4.55 $1.73 – $14.70 29,355 9
Ripley, MS $2.42 $0.23 – $5.29 29,355 7
Carmel, IN $2.33 $0.46 – $12.00 29,361 88
Pocatello, ID $3.32 $0.00 – $14.69 29,404 27
Lindsay, CA $1.45 $0.00 – $3.20 29,404 12
Lawrenceburg, IN $3.23 $0.42 – $26.04 29,414 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.