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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
San Juan, PR $3.33 $0.00 – $5.62 343,385 91
Lansing, MI $1.53 $0.00 – $11.77 346,463 54
Murrieta, CA $2.38 $0.00 – $40.22 346,680 63
Stockton, CA $2.85 $0.00 – $108.05 349,719 93
Florence, SC $12.07 $0.00 – $37.85 354,122 126
Lancaster, CA $11.81 $0.00 – $86.33 355,223 94
Hanford, CA $1.53 $0.00 – $12.60 357,203 53
Mobile, AL $2.81 $0.00 – $15.05 365,079 285
Raleigh, NC $4.35 $0.00 – $205.03 369,296 329
Greensboro, NC $4.97 $0.00 – $32.19 371,333 220
Chattanooga, TN $2.42 $0.00 – $46.12 374,235 319
Hollywood, FL $0.93 $0.00 – $19.77 376,212 110
Van Nuys, CA $2.42 $0.00 – $8.34 377,145 80
Berkeley, CA $3.28 $0.00 – $9.17 377,997 44
Monroe, LA $2.78 $0.00 – $5.27 383,126 202
Fort Worth, TX $4.34 $0.00 – $66.24 393,896 448
Dearborn, MI $2.50 $0.00 – $6.86 401,312 64
Akron, OH $2.40 $0.00 – $335.02 401,522 320
Dayton, OH $1.67 $0.00 – $406.15 405,929 324
Davie, FL $0.66 $0.00 – $60.61 406,537 14
West Allis, WI $6.94 $0.00 – $49.05 408,963 31
Visalia, CA $1.59 $0.00 – $17.92 412,660 108
Santa Ana, CA $2.32 $0.00 – $15.11 413,569 159
Oakland, CA $3.70 $0.00 – $323.09 415,978 192
Madera, CA $1.78 $0.00 – $45.74 422,899 94
El Paso, TX $4.50 $0.00 – $77.95 424,025 287
Brockton, MA $2.95 $0.00 – $26.24 424,203 64
Bridgeport, CT $2.91 $0.00 – $52.06 429,643 105
Englewood, CO $6.37 $0.00 – $79.19 429,690 47
Shreveport, LA $2.84 $0.00 – $9.33 437,513 354
Charleston, WV $10.76 $0.00 – $103.81 438,273 143
La Mesa, CA $3.66 $0.00 – $15.08 438,401 54
Mesa, AZ $0.87 $0.00 – $48.61 442,081 159
Spokane, WA $2.36 $0.00 – $72.12 445,664 179
Jacksonville, FL $0.96 $0.00 – $87.30 455,511 362
Buffalo, NY $4.00 $0.00 – $72.28 459,967 196
Greenville, SC $27.05 $0.00 – $110.05 468,246 220
Flint, MI $2.05 $0.00 – $7.13 473,724 67
Grand Rapids, MI $1.69 $0.00 – $6.85 474,137 65
Caguas, PR $3.91 $0.00 – $4.64 476,787 24
Lafayette, LA $3.17 $0.00 – $12.68 489,397 271
El Monte, CA $0.27 $0.00 – $4.78 498,503 60
Oklahoma City, OK $7.14 $0.00 – $133.75 508,508 349
Tacoma, WA $2.19 $0.00 – $29.05 514,138 141
Charleston, SC $22.37 $0.00 – $432.05 515,077 152
Springfield, IL $3.01 $0.00 – $221.57 520,146 75
San Jose, CA $1.64 $0.00 – $35.78 520,578 238
Rochester, NY $4.76 $0.00 – $70.66 521,063 246
Springfield, MA $4.22 $0.00 – $73.03 522,042 139
Riverside, CA $1.98 $0.00 – $148.61 525,506 238

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.