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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
Georgetown, SC $18.20 $0.00 – $25.67 52,636 22
Adrian, MI $0.97 $0.11 – $2.65 52,835 8
Ronceverte, WV $12.05 $0.54 – $32.07 52,911 31
Wayne, MI $0.35 $0.00 – $2.82 53,401 7
Watertown, NY $13.49 $0.00 – $21.79 53,458 30
Columbia, TN $2.61 $0.00 – $5.94 53,509 61
Mullica Hill, NJ $0.81 $0.00 – $2.09 53,571 3
Arlington, VA $1.90 $0.00 – $8.07 53,615 48
Owings Mills, MD $7.22 $0.00 – $13.10 53,647 18
Leesburg, FL $1.17 $0.00 – $106.33 53,651 26
Frankfort, KY $5.72 $0.00 – $8.05 53,679 20
Selma, AL $3.24 $1.25 – $9.90 53,775 25
San Juan Capistrano, CA $3.02 $0.00 – $5.13 53,803 13
Lexington, SC $3.31 $0.73 – $6.49 53,828 60
Monroe, NY $31.33 $0.29 – $52.23 53,831 33
Nashua, NH $2.29 $0.86 – $6.50 53,856 25
Minden, LA $2.43 $0.00 – $4.34 53,940 27
Bullhead City, AZ $1.30 $0.00 – $7.68 53,947 22
Marina Del Rey, CA $5.42 $0.00 – $31.63 53,965 15
New Albany, MS $2.75 $0.00 – $6.40 54,038 27
Farmville, VA $0.87 $0.36 – $6.46 54,061 16
Yuba City, CA $2.18 $0.00 – $90.80 54,111 50
King City, CA $2.49 $0.00 – $4.83 54,193 14
Sunnyside, WA $22.39 $0.22 – $29.60 54,202 29
Waterloo, IA $1.72 $0.00 – $9.54 54,449 98
Glendora, CA $2.68 $0.00 – $5.22 54,536 15
Cayey, PR $3.72 $2.68 – $3.92 54,572 7
Amsterdam, NY $1.90 $1.86 – $2.38 54,615 7
South Gate, CA $0.40 $0.00 – $2.71 54,627 36
Richlands, VA $4.08 $0.47 – $16.60 54,701 21
Huber Heights, OH $3.01 $0.18 – $14.88 54,721 14
Moses Lake, WA $2.04 $0.00 – $19.20 54,726 37
Mullins, SC $12.33 $0.00 – $18.90 54,765 14
Brick, NJ $2.00 $0.02 – $5.84 54,917 8
Bisbee, AZ $0.53 $0.00 – $6.86 55,050 3
New Albany, IN $2.98 $0.29 – $16.06 55,069 53
Harlan, KY $13.14 $0.09 – $15.16 55,088 19
Kokomo, IN $2.75 $0.37 – $6.84 55,205 52
Libertyville, IL $2.87 $0.00 – $7.74 55,208 18
Hillsdale, MI $1.44 $0.00 – $2.25 55,253 6
Henderson, NC $3.02 $0.01 – $8.06 55,323 32
Roseburg, OR $1.99 $0.00 – $10.71 55,391 71
Whitesburg, KY $7.17 $0.33 – $11.76 55,437 20
Brookhaven, MS $3.11 $0.54 – $6.66 55,447 22
Willoughby, OH $2.92 $0.00 – $6.56 55,478 31
Hoboken, NJ $4.55 $0.00 – $10.95 55,671 15
Thousand Oaks, CA $2.51 $0.00 – $7.25 55,799 21
Aguadilla, PR $3.65 $2.63 – $39.14 55,958 22
Poughkeepsie, NY $2.31 $0.00 – $25.60 56,144 60
Moca, PR $3.86 $0.00 – $4.54 56,238 17

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.