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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
Norwalk, OH $2.96 $0.10 – $31.46 29,440 14
Springville, CA $0.09 $0.09 – $0.09 29,488 1
Somerville, NJ $3.73 $0.51 – $3.76 29,539 4
West Reading, PA $4.37 $0.00 – $18.95 29,557 60
Findlay, OH $3.48 $0.08 – $21.83 29,561 32
Glen Burnie, MD $1.72 $0.00 – $38.25 29,579 33
Burton, MI $2.57 $1.03 – $4.12 29,618 15
Duluth, MN $6.08 $0.00 – $23.95 29,626 38
Middlebury, CT $0.24 $0.00 – $8.19 29,645 15
Riviera Beach, FL $0.47 $0.47 – $1.21 29,762 2
Kingston, NY $1.16 $0.12 – $15.09 29,814 27
Butte, MT $1.51 $0.00 – $6.68 29,822 8
Covington, TN $2.56 $0.63 – $3.01 29,885 13
Wichita Falls, TX $2.81 $0.00 – $22.28 29,886 38
Gardner, MA $3.09 $1.10 – $7.33 29,898 15
West Hollywood, CA $2.43 $0.00 – $57.53 29,920 55
Paw Paw, MI $1.05 $1.05 – $1.05 29,978 1
Waterford, MI $3.35 $0.00 – $6.80 29,980 16
Dover, OH $3.70 $0.00 – $6.09 30,150 24
Homestead, FL $2.31 $0.00 – $6.98 30,154 28
Avon, OH $0.91 $0.00 – $6.47 30,244 21
Waianae, HI $0.64 $0.00 – $18.31 30,333 22
Beaver Dam, WI $9.28 $0.41 – $9.53 30,340 4
Grants Pass, OR $1.01 $0.00 – $32.89 30,347 69
Rayville, LA $1.09 $0.00 – $4.87 30,353 22
Washington, NC $2.56 $0.00 – $5.38 30,383 32
Loiza, PR $3.27 $2.43 – $3.54 30,401 7
Middle Village, NY $4.67 $1.29 – $5.04 30,424 5
Greenbrae, CA $4.35 $0.06 – $4.54 30,450 11
Gallup, NM $5.55 $0.00 – $7.04 30,450 14
West Des Moines, IA $5.69 $0.00 – $12.82 30,459 46
Gurabo, PR $2.78 $0.00 – $3.76 30,600 11
Placentia, CA $2.31 $0.51 – $6.69 30,621 5
New Rochelle, NY $1.88 $0.36 – $5.21 30,654 13
Adjuntas, PR $3.56 $3.21 – $3.79 30,675 3
Blacksburg, VA $1.14 $0.08 – $9.41 30,684 17
Arroyo, PR $2.89 $1.36 – $3.16 30,735 4
Valparaiso, IN $2.85 $0.33 – $8.20 30,739 53
Kailua, HI $1.93 $0.09 – $8.86 30,750 13
Lakewood, CO $2.58 $0.00 – $6.64 30,776 63
Mendota, CA $0.03 $0.00 – $0.15 30,799 5
Deming, NM $6.88 $1.08 – $9.37 30,826 14
Three Rivers, MI $0.60 $0.00 – $2.83 30,864 7
Palm Bay, FL $0.52 $0.00 – $15.53 30,891 13
Marion, VA $3.73 $0.52 – $6.60 30,927 16
Great Neck, NY $2.79 $0.00 – $8.62 30,948 26
Wisconsin Rapids, WI $6.77 $2.50 – $8.02 30,951 7
Rego Park, NY $2.22 $0.00 – $6.06 30,984 23
Burleson, TX $3.75 $1.82 – $8.76 30,996 22
Forestville, MD $3.13 $3.13 – $3.86 31,024 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.