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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
Greenwood, IN $2.34 $0.41 – $6.58 35,286 66
Bayside, NY $2.57 $0.13 – $2.73 35,299 8
Laguna Hills, CA $1.58 $0.00 – $9.47 35,303 24
Dania Beach, FL $0.22 $0.22 – $0.22 35,397 1
Sault Sainte Marie, MI $1.45 $0.14 – $6.27 35,442 9
Bloomington, IL $2.97 $0.00 – $10.60 35,489 38
Bessemer, AL $3.32 $0.00 – $5.50 35,503 22
Sanford, NC $3.48 $0.00 – $23.46 35,544 45
Thibodaux, LA $3.53 $0.00 – $5.91 35,662 40
Cheraw, SC $9.50 $1.03 – $13.25 35,665 11
Fort Atkinson, WI $7.10 $0.00 – $17.66 35,697 5
Moline, IL $2.47 $0.00 – $5.61 35,711 21
Lemoore, CA $0.35 $0.00 – $2.19 35,715 12
Bozeman, MT $1.13 $0.00 – $7.63 35,732 13
Attleboro, MA $4.35 $2.57 – $6.87 35,743 15
Phillipsburg, NJ $2.08 $1.46 – $4.07 35,837 3
Decatur, AL $2.94 $0.00 – $15.73 35,877 51
Hershey, PA $4.29 $0.00 – $241.60 35,907 76
Mckinney, TX $2.49 $0.00 – $38.96 35,940 39
North Charleston, SC $3.57 $0.67 – $7.38 35,983 42
Jayuya, PR $3.78 $0.00 – $4.02 36,075 5
Davis, CA $4.67 $0.00 – $7.77 36,186 19
San Marcos, CA $0.57 $0.00 – $8.67 36,228 43
Wytheville, VA $1.51 $1.15 – $6.68 36,307 12
Jonesboro, LA $2.63 $0.00 – $3.19 36,442 15
Ithaca, NY $2.74 $1.86 – $7.92 36,526 12
Columbia, MD $2.57 $0.00 – $17.74 36,563 53
Norwalk, CA $1.84 $0.00 – $3.31 36,737 23
Atwater, CA $1.72 $0.04 – $2.25 36,771 9
Trenton, MI $1.38 $0.02 – $27.72 36,824 16
Lebanon, KY $3.60 $0.14 – $4.86 36,869 23
Greeley, CO $2.16 $0.00 – $39.87 36,933 81
Escanaba, MI $1.46 $0.62 – $7.13 36,982 5
Opelika, AL $2.55 $0.00 – $7.67 37,132 54
Humble, TX $12.74 $0.00 – $38.98 37,164 50
Hudson, FL $0.59 $0.00 – $8.00 37,265 9
Medford, OR $1.82 $0.00 – $27.14 37,473 148
Abbeville, LA $2.74 $0.00 – $6.80 37,502 24
Lebanon, NH $2.97 $0.00 – $11.58 37,549 32
Saratoga Springs, NY $1.57 $0.88 – $13.26 37,550 14
Cambridge, OH $4.12 $0.00 – $16.66 37,707 35
Forest Hills, NY $3.33 $0.00 – $50.15 37,771 42
Guayama, PR $3.15 $0.02 – $4.02 37,793 11
Espanola, NM $6.55 $0.00 – $9.45 37,849 20
Abilene, TX $2.66 $0.00 – $11.25 37,940 50
Mandeville, LA $2.53 $0.00 – $5.84 37,959 28
Orocovis, PR $2.87 $2.58 – $3.22 37,962 4
Saint Cloud, MN $5.50 $0.08 – $20.67 38,114 22
Steubenville, OH $4.28 $0.00 – $31.12 38,229 24
Carbondale, IL $2.08 $0.00 – $14.54 38,270 29

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.