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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
Lynn, MA $4.22 $0.20 – $6.29 75,482 14
Mission, TX $2.80 $0.00 – $10.94 75,522 52
Livonia, MI $2.09 $0.00 – $7.03 75,588 43
Martinez, CA $0.75 $0.00 – $6.91 75,780 84
Middletown, NY $2.42 $0.00 – $9.05 75,892 92
San Dimas, CA $2.31 $0.00 – $3.08 76,143 7
Wheeling, WV $15.03 $0.00 – $60.01 76,375 52
Troy, NY $1.35 $0.51 – $10.51 76,901 41
Humacao, PR $3.67 $0.00 – $4.90 76,934 13
Greenwood, MS $2.32 $0.00 – $26.98 77,055 26
Juana Diaz, PR $3.35 $0.00 – $3.69 77,109 13
Bossier City, LA $1.98 $0.00 – $5.82 77,248 54
Smyrna, TN $2.16 $0.00 – $85.12 77,371 44
Providence, RI $6.75 $0.00 – $169.90 77,662 162
Indio, CA $0.90 $0.00 – $3.63 77,973 29
Fort Walton Beach, FL $4.79 $0.00 – $99.23 78,005 29
Redlands, CA $5.19 $0.00 – $7.68 78,100 33
Elk Grove Village, IL $2.20 $0.20 – $5.05 78,219 12
Norwalk, CT $0.45 $0.00 – $5.05 78,292 54
Muncie, IN $2.69 $0.17 – $8.56 78,301 102
Harrisonburg, VA $0.67 $0.00 – $6.94 78,474 23
Atlantis, FL $0.42 $0.00 – $5.20 78,564 12
Hagerstown, MD $3.63 $0.00 – $45.78 78,654 61
Manati, PR $3.44 $1.05 – $7.25 78,665 16
Rockville Centre, NY $1.52 $0.00 – $4.71 78,772 30
Williamsburg, VA $1.70 $0.00 – $24.12 78,948 40
Brooksville, FL $0.50 $0.00 – $4.04 79,000 26
Putnam, CT $2.03 $0.00 – $12.22 79,045 11
Boynton Beach, FL $0.83 $0.00 – $9.45 79,320 48
Joplin, MO $27.63 $0.00 – $419.67 79,322 137
Savannah, GA $0.81 $0.00 – $17.00 79,486 46
Patillas, PR $3.86 $0.00 – $3.97 79,569 4
Chino, CA $4.07 $0.00 – $5.85 79,584 36
Gastonia, NC $3.50 $0.00 – $10.21 79,592 105
Westlake, OH $0.83 $0.00 – $6.97 79,624 45
Pittsfield, MA $5.43 $0.00 – $10.25 79,716 29
Cookeville, TN $2.15 $0.00 – $7.43 79,818 89
Chapel Hill, NC $3.69 $0.00 – $10.91 79,973 176
Mount Clemens, MI $1.68 $0.07 – $6.52 80,267 17
Jamestown, NY $2.24 $0.08 – $21.35 80,370 31
Huntington Beach, CA $0.78 $0.00 – $9.03 80,400 37
Beckley, WV $13.22 $0.00 – $63.86 80,851 54
Oxford, MS $2.39 $0.00 – $7.75 81,031 38
Madisonville, KY $4.02 $0.09 – $7.33 81,040 36
Traverse City, MI $1.21 $0.03 – $6.56 81,067 18
Los Banos, CA $4.07 $0.01 – $4.83 81,425 12
Appleton, WI $6.57 $0.00 – $8.64 81,776 22
Springfield, OH $1.62 $0.00 – $22.28 82,267 80
Owosso, MI $0.85 $0.75 – $2.71 82,378 7
Columbia, MO $34.35 $0.00 – $551.54 82,439 179

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.