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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
Bowling Green, KY $3.54 $0.00 – $8.70 195,262 131
Ewa Beach, HI $4.77 $0.01 – $5.52 197,006 3
Hammond, LA $1.52 $0.00 – $6.55 197,903 116
Fayetteville, NC $4.34 $0.00 – $20.66 199,947 194
San Luis Obispo, CA $2.49 $0.00 – $73.15 200,234 45
Oxnard, CA $4.10 $0.00 – $323.99 200,542 79
Fontana, CA $1.12 $0.00 – $4.02 201,044 103
Hattiesburg, MS $2.81 $0.00 – $12.88 201,428 97
Laredo, TX $3.36 $0.00 – $9.02 201,734 78
Moreno Valley, CA $3.72 $0.00 – $6.87 202,560 69
El Centro, CA $3.36 $0.00 – $11.28 202,968 38
Cypress, CA $0.54 $0.00 – $2.92 206,610 14
Alexandria, LA $2.68 $0.00 – $6.31 207,304 141
Youngstown, OH $2.47 $0.00 – $16.61 207,596 111
Santa Barbara, CA $2.79 $0.00 – $10.63 207,802 69
Billings, MT $1.16 $0.00 – $7.93 208,246 53
Englewood, NJ $3.20 $0.00 – $10.56 208,832 25
Panorama City, CA $1.58 $0.00 – $7.29 208,837 61
Danville, VA $1.68 $0.00 – $7.41 209,012 81
Bayamon, PR $3.85 $0.03 – $5.57 212,403 45
Rancho Dominguez, CA $0.68 $0.31 – $0.92 213,148 6
Corona, CA $2.06 $0.00 – $9.08 214,111 59
Doral, FL $0.12 $0.00 – $3.31 216,141 15
Park Ridge, IL $2.49 $1.24 – $4.45 216,246 31
Edinburg, TX $3.46 $0.00 – $111.18 217,843 112
Anchorage, AK $54.02 $0.00 – $657.03 220,162 63
Clermont, FL $0.66 $0.00 – $28.67 222,135 25
Kansas City, MO $69.58 $0.00 – $2,157 223,797 310
Green Bay, WI $7.80 $0.00 – $9.40 224,034 45
Ashland, KY $4.16 $0.00 – $11.16 224,268 78
Madison, WI $8.34 $0.00 – $47.66 226,281 74
Canton, OH $2.71 $0.00 – $18.57 226,536 150
Charlottesville, VA $2.06 $0.00 – $17.11 227,405 52
Winston Salem, NC $4.34 $0.00 – $123.61 230,661 344
Camden, NJ $3.08 $0.00 – $24.11 233,648 68
St Petersburg, FL $1.14 $0.00 – $75.54 235,859 143
Fountain Valley, CA $1.67 $0.00 – $28.03 237,373 46
Brownsville, TX $3.77 $0.00 – $31.82 237,683 100
West Palm Beach, FL $0.94 $0.00 – $7.04 237,823 89
Hillside, IL $4.32 $4.32 – $4.32 238,984 1
Escondido, CA $6.73 $0.00 – $62.76 239,275 57
Fort Wayne, IN $3.31 $0.00 – $12.74 240,917 312
Rockford, IL $1.91 $0.00 – $16.64 245,520 82
Salt Lake City, UT $18.37 $0.00 – $189.70 248,847 139
Tallahassee, FL $0.62 $0.00 – $29.14 249,468 107
Garden Grove, CA $1.76 $0.00 – $10.90 250,059 66
Allen Park, MI $3.53 $1.05 – $3.57 250,870 8
Lakeland, FL $1.10 $0.00 – $30.62 251,368 91
Jackson, TN $3.15 $0.00 – $89.22 252,973 216
Elgin, IL $1.64 $0.00 – $6.15 253,993 34

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.