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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
Marion, IN $2.90 $0.94 – $6.53 89,819 40
Yauco, PR $4.26 $1.75 – $4.52 89,919 12
Richmond, KY $3.53 $0.00 – $7.92 89,941 29
Middletown, CT $0.98 $0.00 – $7.59 90,156 35
Pascagoula, MS $3.85 $0.00 – $6.86 90,403 21
Toms River, NJ $3.55 $0.00 – $10.60 90,771 34
Poplar Bluff, MO $28.57 $0.00 – $139.53 90,781 52
Marietta, OH $6.49 $0.00 – $20.95 91,797 71
Morristown, NJ $3.13 $0.00 – $72.48 92,027 44
Grosse Pointe, MI $1.02 $0.05 – $2.82 92,130 6
Silverdale, WA $0.96 $0.93 – $10.33 92,515 17
Tracy, CA $3.79 $0.00 – $13.60 92,829 24
Vista, CA $1.39 $0.00 – $27.41 93,440 53
Lakewood, CA $4.47 $0.00 – $7.51 93,507 14
Meriden, CT $0.20 $0.00 – $7.36 93,708 19
Anderson, IN $2.47 $0.66 – $7.71 93,727 85
Quincy, IL $3.56 $0.00 – $183.11 93,816 25
Prestonsburg, KY $2.63 $0.00 – $8.10 93,850 43
Manchester, CT $1.27 $0.00 – $6.38 93,875 33
Vega Baja, PR $3.62 $0.00 – $4.05 93,966 18
Pleasant Prairie, WI $5.84 $0.33 – $5.91 94,184 4
South Bend, IN $3.53 $0.05 – $8.83 94,465 90
La Crosse, WI $6.63 $0.00 – $16.81 94,700 17
Perth Amboy, NJ $1.90 $0.00 – $11.07 95,243 24
Chillicothe, OH $3.83 $0.00 – $16.95 95,278 83
Midland, MI $1.32 $0.00 – $6.81 95,616 13
Melbourne, FL $0.62 $0.00 – $5.86 95,624 74
Westminster, CA $2.61 $0.00 – $15.75 95,832 38
Summit, NJ $2.56 $0.56 – $3.74 95,847 7
Santa Fe, NM $5.40 $0.00 – $12.15 95,853 68
Rancho Mirage, CA $6.24 $0.00 – $17.44 96,079 42
El Cajon, CA $0.79 $0.00 – $3.11 96,350 58
Battle Creek, MI $0.73 $0.00 – $7.28 96,372 13
North Kingstown, RI $4.11 $2.15 – $4.11 96,676 2
Arlington, TX $3.34 $0.00 – $10.35 97,047 68
Jeffersonville, IN $1.39 $0.00 – $6.65 97,222 79
Tyler, TX $2.44 $0.00 – $23.73 97,259 113
Daly City, CA $1.40 $0.00 – $4.06 97,554 12
Parkersburg, WV $15.50 $0.11 – $380.90 97,584 51
Somerset, KY $3.44 $0.05 – $6.82 97,706 50
Greenville, MS $3.23 $0.00 – $12.11 97,736 37
Manhasset, NY $1.64 $0.00 – $42.21 97,811 33
Bel Air, MD $1.96 $0.00 – $5.66 97,846 68
West Islip, NY $1.51 $0.01 – $9.31 98,067 31
Fishersville, VA $1.88 $0.02 – $7.21 98,135 27
Salem, OR $2.27 $0.00 – $23.43 98,197 130
Petersburg, VA $1.48 $0.00 – $5.09 98,231 16
Derby, CT $1.73 $0.00 – $6.44 98,510 22
West Bloomfield, MI $2.74 $0.04 – $3.89 98,546 11
Ypsilanti, MI $2.34 $0.00 – $18.35 98,550 21

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.