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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
Longview, TX $4.26 $0.00 – $13.56 56,243 83
East Orange, NJ $3.11 $0.45 – $12.32 56,312 13
Thornton, CO $2.56 $0.00 – $39.33 56,399 87
Villalba, PR $3.59 $1.37 – $3.91 56,407 5
Port Angeles, WA $1.58 $0.98 – $19.75 56,491 11
Bismarck, ND $4.77 $0.00 – $32.31 56,497 43
Beachwood, OH $0.89 $0.00 – $11.44 56,594 58
Winchester, MA $2.61 $0.97 – $4.25 56,711 4
Clovis, NM $6.11 $1.00 – $20.84 56,804 26
Patchogue, NY $2.33 $0.43 – $4.05 56,836 18
Manning, SC $13.65 $0.11 – $23.94 56,871 23
Euclid, OH $0.49 $0.00 – $4.62 56,897 27
Normal, IL $2.21 $0.03 – $4.88 57,029 18
Somers Point, NJ $1.64 $0.39 – $3.30 57,060 4
Barstow, CA $4.24 $0.00 – $5.58 57,062 13
Lufkin, TX $3.59 $0.00 – $6.97 57,250 21
North Bergen, NJ $2.82 $0.00 – $11.08 57,372 19
Burien, WA $0.58 $0.00 – $8.02 57,499 32
Kenosha, WI $6.45 $0.14 – $8.71 57,550 40
Centralia, WA $1.09 $0.00 – $8.08 57,656 30
Fond Du Lac, WI $5.07 $0.00 – $5.68 57,780 9
Simi Valley, CA $3.40 $0.00 – $9.69 57,824 24
Helena, MT $0.67 $0.00 – $7.56 57,846 12
Yreka, CA $2.61 $0.00 – $3.93 57,941 16
St Clair Shores, MI $1.53 $1.53 – $1.53 57,945 1
Encino, CA $0.89 $0.00 – $3.36 58,003 27
Winnsboro, LA $2.20 $0.00 – $5.01 58,038 32
Lake Forest, IL $1.99 $0.78 – $3.67 58,225 12
Las Piedras, PR $3.58 $0.00 – $3.83 58,274 8
Bay Shore, NY $1.49 $0.16 – $8.39 58,283 29
Galax, VA $1.70 $0.75 – $6.81 58,370 20
Biddeford, ME $0.51 $0.00 – $5.83 58,558 12
Beverly Hills, CA $0.55 $0.00 – $5.58 58,649 31
Ottawa, IL $2.78 $2.12 – $5.70 58,708 10
Springfield, OR $1.34 $0.00 – $12.78 58,733 113
Pennington, NJ $2.52 $0.07 – $3.53 58,813 13
Livingston, CA $1.94 $0.00 – $7.06 58,876 12
Beaufort, SC $11.69 $0.57 – $12.49 58,955 17
Florence, KY $2.44 $0.00 – $6.42 59,036 34
Sonora, CA $5.11 $0.01 – $175.00 59,062 17
Martinsville, VA $1.59 $0.29 – $6.80 59,123 31
Biloxi, MS $3.53 $0.00 – $7.46 59,202 19
Cape Girardeau, MO $39.90 $0.81 – $267.94 59,236 84
Dover, DE $7.05 $0.00 – $24.21 59,290 68
Henderson, KY $3.71 $0.13 – $7.25 59,369 27
Leitchfield, KY $4.13 $0.31 – $6.13 59,446 16
Slidell, LA $3.21 $0.00 – $5.94 59,509 64
Methuen, MA $1.85 $1.51 – $10.87 59,542 12
Leesburg, VA $1.13 $0.07 – $6.78 59,562 25
Montclair, NJ $3.13 $0.11 – $11.93 59,578 9

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.