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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
Ocala, FL $2.02 $0.00 – $40.83 143,897 110
Pasadena, CA $1.93 $0.00 – $26.34 143,997 104
Omaha, NE $9.41 $0.00 – $108.38 144,008 248
Farmington, NM $6.20 $0.00 – $57.11 144,147 82
Hampton, VA $0.80 $0.33 – $6.31 145,605 45
Troy, MI $1.87 $0.44 – $5.17 145,638 23
Colorado Springs, CO $3.17 $0.00 – $88.94 145,950 407
Jackson, MI $1.39 $0.00 – $9.49 146,632 29
Chico, CA $3.87 $0.00 – $25.33 146,639 32
Danbury, CT $1.24 $0.00 – $29.97 147,121 67
Tupelo, MS $3.24 $0.00 – $12.39 147,426 73
Vallejo, CA $1.47 $0.00 – $7.43 148,172 30
Skokie, IL $4.69 $1.58 – $5.69 148,193 36
Meridian, MS $3.47 $0.00 – $17.80 148,935 41
Brawley, CA $3.99 $0.00 – $16.00 148,944 36
Roseville, CA $4.87 $0.00 – $49.40 149,801 28
Galveston, TX $4.16 $1.05 – $61.44 150,485 53
Arecibo, PR $3.75 $2.12 – $4.08 150,894 23
Orange Park, FL $0.62 $0.00 – $16.73 151,057 43
Plantation, FL $0.56 $0.00 – $4.82 151,765 87
Metairie, LA $2.75 $0.00 – $7.39 152,429 123
Morgantown, WV $12.98 $0.00 – $46.52 152,536 117
Huntsville, AL $2.86 $0.00 – $11.70 153,437 183
Worcester, MA $4.06 $0.00 – $21.73 153,738 87
Chesapeake, VA $1.87 $0.10 – $7.02 154,654 92
Santa Rosa, CA $2.32 $0.00 – $27.52 154,855 67
Marrero, LA $3.37 $0.00 – $9.09 155,571 76
Renton, WA $1.84 $0.00 – $8.36 155,777 46
Harlingen, TX $3.24 $0.00 – $15.31 156,381 71
Newport Beach, CA $1.42 $0.00 – $5.88 156,495 36
Lowell, MA $4.40 $0.52 – $7.35 156,622 36
Inglewood, CA $1.28 $0.00 – $6.85 156,903 50
Allentown, PA $4.72 $0.00 – $126.58 157,228 167
Owensboro, KY $3.09 $0.00 – $8.43 157,297 78
Kettering, OH $0.59 $0.00 – $7.01 157,306 140
Chula Vista, CA $9.17 $0.00 – $17.98 157,395 106
Anderson, SC $12.25 $0.09 – $148.03 157,915 50
Springfield, MO $44.06 $0.09 – $391.13 158,187 292
Hinsdale, IL $2.10 $0.00 – $5.08 158,416 17
Maywood, IL $1.68 $0.18 – $4.06 159,223 19
Gulfport, MS $2.76 $0.00 – $25.39 159,415 40
Scottsdale, AZ $1.34 $0.00 – $106.04 159,489 105
Aurora, CO $9.07 $0.00 – $101.16 160,074 477
Elmhurst, NY $2.69 $0.00 – $78.87 160,170 39
Muskegon, MI $1.04 $0.00 – $6.93 161,250 25
Vancouver, WA $1.61 $0.00 – $762.50 161,517 140
Paducah, KY $3.23 $0.00 – $53.66 162,774 69
Staten Island, NY $5.05 $0.00 – $87.44 163,548 95
Puyallup, WA $0.43 $0.00 – $19.39 164,026 43
Racine, WI $9.40 $0.00 – $9.81 164,590 10

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.