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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
Red Bluff, CA $4.54 $0.00 – $5.84 48,838 16
Loris, SC $20.24 $0.90 – $21.32 48,857 5
Camuy, PR $2.91 $0.00 – $3.49 48,864 11
Woodbury, NJ $1.47 $0.03 – $4.80 48,941 7
Milford, CT $1.59 $0.00 – $4.56 48,969 22
Alamogordo, NM $7.17 $1.20 – $8.24 49,089 26
Palm Beach Gardens, FL $1.30 $0.00 – $2.66 49,229 18
Maysville, KY $3.48 $0.33 – $16.26 49,297 21
La Jolla, CA $2.93 $0.00 – $14.41 49,341 47
St George, UT $6.25 $0.19 – $7.23 49,358 28
Big Stone Gap, VA $0.89 $0.00 – $5.98 49,388 10
Winchester, TN $1.06 $0.15 – $2.18 49,422 33
Cleveland, MS $2.62 $0.25 – $4.89 49,604 16
Cordova, TN $2.25 $0.00 – $3.72 49,673 35
Lajas, PR $3.27 $2.88 – $3.55 49,680 7
Oneonta, NY $22.08 $0.27 – $39.15 49,736 8
Kalispell, MT $2.18 $0.00 – $23.29 49,965 31
Easley, SC $14.99 $1.07 – $34.70 49,977 23
Cumberland, MD $6.70 $0.00 – $191.67 49,985 33
Plattsburgh, NY $8.56 $0.76 – $10.23 50,241 26
South Boston, VA $1.17 $0.01 – $6.25 50,441 16
Show Low, AZ $0.55 $0.09 – $148.62 50,476 14
Dillon, SC $12.35 $0.59 – $16.86 50,489 23
Picayune, MS $3.16 $0.00 – $5.20 50,498 15
Burlington, MA $3.67 $0.02 – $18.88 50,612 15
Far Rockaway, NY $6.31 $0.04 – $9.58 50,621 16
Vega Alta, PR $3.55 $2.56 – $3.78 50,710 12
Jacksonville, NC $3.42 $0.00 – $12.38 50,711 83
Riverdale, GA $3.05 $0.43 – $7.96 50,834 9
Aberdeen, WA $1.84 $0.02 – $14.62 51,129 17
High Point, NC $3.68 $0.00 – $9.35 51,199 83
San Sebastian, PR $3.41 $0.12 – $4.50 51,242 20
Rio Grande, PR $3.09 $0.00 – $3.48 51,286 7
Murray, KY $2.83 $0.07 – $26.65 51,430 46
Port Charlotte, FL $0.99 $0.00 – $9.24 51,569 32
Edmonds, WA $1.27 $0.20 – $6.57 51,796 18
Corinth, MS $3.67 $0.00 – $6.04 51,943 36
New Bern, NC $4.07 $0.00 – $7.48 52,080 45
Pembroke Pines, FL $3.22 $0.00 – $35.47 52,116 64
Torrington, CT $0.35 $0.00 – $7.02 52,191 18
Crystal River, FL $0.85 $0.00 – $2.30 52,272 16
Sunrise, FL $1.40 $0.00 – $7.91 52,316 38
Lombard, IL $4.72 $2.06 – $6.02 52,358 9
Bristol, TN $1.22 $0.27 – $25.42 52,384 55
Sun City, AZ $0.26 $0.00 – $4.52 52,477 16
Compton, CA $0.63 $0.00 – $3.75 52,479 26
Mountain View, CA $1.97 $0.00 – $4.10 52,489 23
Mc Kenzie, TN $1.83 $0.33 – $2.91 52,560 20
Germantown, TN $1.85 $0.00 – $12.14 52,564 74
Bensalem, PA $3.41 $0.00 – $9.62 52,614 8

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.