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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
Lubbock, TX $4.99 $0.00 – $224.99 82,492 148
Midlothian, VA $1.03 $0.39 – $10.98 82,499 45
Montebello, CA $1.88 $0.00 – $5.00 82,621 32
Miami Beach, FL $0.55 $0.00 – $11.19 82,882 48
Beloit, WI $8.15 $1.87 – $8.17 83,039 4
Harbor City, CA $1.69 $0.00 – $20.58 83,248 30
Elizabeth, NJ $3.19 $0.00 – $12.61 83,360 18
Pomona, NJ $1.04 $0.37 – $1.04 83,605 2
Schenectady, NY $2.33 $0.14 – $16.29 83,657 64
Sioux Falls, SD $5.44 $0.00 – $72.78 83,828 43
Martinsburg, WV $10.33 $0.00 – $53.41 83,831 45
Melrose Park, IL $2.32 $0.00 – $2.89 83,834 10
Holyoke, MA $4.06 $0.00 – $6.60 84,202 29
Antioch, CA $2.30 $0.00 – $5.39 84,233 13
Winchester, KY $3.82 $0.09 – $7.43 84,240 26
Wausau, WI $6.03 $0.00 – $6.80 84,392 20
Henderson, NV $1.88 $0.00 – $7.35 84,432 152
Everett, WA $1.68 $0.00 – $28.82 84,726 88
Bridgeport, WV $15.82 $0.29 – $42.30 84,902 41
Kingman, AZ $1.69 $0.00 – $11.26 84,911 30
Great Falls, MT $1.04 $0.00 – $9.60 84,941 38
Garden City, MI $3.33 $0.00 – $127.70 84,941 24
Teaneck, NJ $2.25 $0.31 – $6.18 85,070 19
East Meadow, NY $2.71 $0.24 – $67.36 85,361 14
Columbus, MS $2.73 $0.00 – $6.92 85,480 29
Hialeah, FL $0.65 $0.00 – $2.12 85,679 47
Lares, PR $3.59 $0.00 – $3.82 85,804 12
Lafayette, IN $3.00 $0.00 – $66.21 86,087 105
Brentwood, TN $0.61 $0.00 – $5.33 86,231 58
Rock Hill, SC $17.90 $0.00 – $25.97 86,236 45
Opelousas, LA $2.20 $0.00 – $6.13 86,465 64
Naples, FL $1.28 $0.00 – $66.87 87,003 70
Northridge, CA $7.16 $0.00 – $13.05 87,013 40
Gallipolis, OH $6.80 $0.00 – $111.78 87,072 46
London, KY $3.56 $0.10 – $6.43 87,124 55
Hopewell, VA $0.42 $0.00 – $2.77 87,221 10
Manteca, CA $2.71 $0.00 – $4.36 87,247 17
Clearwater, FL $0.69 $0.00 – $8.00 87,276 65
Laurel, MS $2.13 $0.00 – $12.34 87,331 39
Eau Claire, WI $6.57 $0.00 – $12.23 87,576 26
Beaumont, TX $5.01 $0.00 – $31.01 87,627 61
Monterey Park, CA $4.70 $0.00 – $11.16 87,850 28
Wyandotte, MI $1.21 $0.00 – $313.78 87,947 29
Hopkinsville, KY $3.54 $0.00 – $6.62 88,024 39
Naranjito, PR $3.52 $2.94 – $4.50 88,300 6
San Juan, TX $3.02 $0.55 – $5.77 88,449 13
Kenner, LA $2.77 $0.00 – $7.30 89,239 50
Santa Monica, CA $3.24 $0.00 – $12.08 89,293 52
Lancaster, SC $7.32 $0.36 – $139.13 89,347 34
Fairfax, VA $1.66 $0.00 – $6.23 89,800 38

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.