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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
Hackensack, NJ $3.14 $0.00 – $10.80 125,693 36
Goodyear, AZ $0.77 $0.00 – $5.40 126,892 54
Cambridge, MA $4.01 $0.26 – $11.74 127,438 18
Carolina, PR $3.56 $0.00 – $4.24 127,932 37
Augusta, GA $14.66 $0.00 – $148.28 128,071 76
Passaic, NJ $2.32 $0.00 – $4.16 128,261 34
Mount Vernon, WA $1.79 $0.21 – $8.58 128,777 32
Pasadena, TX $4.36 $0.11 – $14.10 128,926 57
Laveen, AZ $0.06 $0.00 – $2.56 129,461 5
Gainesville, GA $3.08 $0.00 – $8.39 129,637 39
Sumter, SC $21.60 $0.00 – $43.72 129,948 73
Livingston, NJ $3.60 $0.00 – $5.63 130,308 26
Suffolk, VA $0.68 $0.06 – $7.05 130,402 50
Greenville, TX $2.83 $0.00 – $49.04 131,854 21
Des Moines, IA $2.40 $0.00 – $31.46 132,943 220
Johnson City, TN $2.18 $0.00 – $11.82 133,543 168
Norwich, CT $0.36 $0.00 – $8.77 133,962 58
Morehead, KY $4.19 $0.00 – $6.64 134,024 37
Warren, OH $2.57 $0.00 – $14.12 134,716 68
Port Huron, MI $1.36 $0.13 – $6.23 134,783 21
Delano, CA $1.48 $0.00 – $4.41 135,626 34
Gilbert, AZ $0.64 $0.00 – $8.16 135,697 95
Mechanicsville, VA $1.90 $0.00 – $7.02 136,223 41
Baldwin Park, CA $1.80 $0.00 – $5.95 136,410 23
Lawrence, MA $1.55 $0.00 – $11.58 136,620 70
Casa Grande, AZ $0.97 $0.00 – $31.50 137,327 25
Wyoming, MI $3.32 $0.00 – $93.01 137,854 17
Stanford, CA $5.54 $0.00 – $65.32 137,865 52
Tarzana, CA $2.47 $0.00 – $8.15 137,868 23
Westbury, NY $2.68 $1.98 – $2.79 138,065 9
San Mateo, CA $3.65 $0.00 – $8.95 138,075 29
Greenwood, SC $12.29 $0.00 – $19.31 138,433 36
Stratford, NJ $2.24 $0.00 – $5.47 139,000 10
Bangor, ME $1.12 $0.00 – $16.00 139,315 30
Richland, WA $1.62 $0.00 – $11.34 139,342 53
Corbin, KY $3.72 $0.00 – $5.70 139,387 35
Farmingdale, NY $2.35 $0.20 – $2.37 139,525 7
Saint Joseph, MI $1.53 $0.00 – $54.75 139,676 24
South El Monte, CA $0.90 $0.00 – $7.42 140,804 8
Wenatchee, WA $1.96 $0.00 – $15.82 141,151 25
Lumberton, NC $3.77 $0.00 – $9.37 141,788 115
Edgewood, KY $4.85 $0.00 – $27.05 141,891 23
Roanoke, VA $1.30 $0.00 – $8.03 141,996 115
Lewiston, ME $0.86 $0.00 – $6.79 143,290 12
Binghamton, NY $2.77 $0.00 – $7.66 143,329 16
Palmdale, CA $19.36 $0.00 – $41.37 143,352 36
Chandler, AZ $3.07 $0.00 – $7.25 143,409 86
Fall River, MA $3.89 $0.05 – $7.35 143,771 65
Edison, NJ $2.75 $0.00 – $53.75 143,867 26
Summerville, SC $8.63 $0.23 – $38.54 143,884 56

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.