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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
Vega Baja, PR $3.62 $0.00 – $4.05 93,966 18
Manchester, CT $1.27 $0.00 – $6.38 93,875 33
Prestonsburg, KY $2.63 $0.00 – $8.10 93,850 43
Quincy, IL $3.56 $0.00 – $183.11 93,816 25
Anderson, IN $2.47 $0.66 – $7.71 93,727 85
Meriden, CT $0.20 $0.00 – $7.36 93,708 19
Lakewood, CA $4.47 $0.00 – $7.51 93,507 14
Vista, CA $1.39 $0.00 – $27.41 93,440 53
Tracy, CA $3.79 $0.00 – $13.60 92,829 24
Silverdale, WA $0.96 $0.93 – $10.33 92,515 17
Grosse Pointe, MI $1.02 $0.05 – $2.82 92,130 6
Morristown, NJ $3.13 $0.00 – $72.48 92,027 44
Marietta, OH $6.49 $0.00 – $20.95 91,797 71
Poplar Bluff, MO $28.57 $0.00 – $139.53 90,781 52
Toms River, NJ $3.55 $0.00 – $10.60 90,771 34
Pascagoula, MS $3.85 $0.00 – $6.86 90,403 21
Middletown, CT $0.98 $0.00 – $7.59 90,156 35
Richmond, KY $3.53 $0.00 – $7.92 89,941 29
Yauco, PR $4.26 $1.75 – $4.52 89,919 12
Marion, IN $2.90 $0.94 – $6.53 89,819 40
Fairfax, VA $1.66 $0.00 – $6.23 89,800 38
Lancaster, SC $7.32 $0.36 – $139.13 89,347 34
Santa Monica, CA $3.24 $0.00 – $12.08 89,293 52
Kenner, LA $2.77 $0.00 – $7.30 89,239 50
San Juan, TX $3.02 $0.55 – $5.77 88,449 13
Naranjito, PR $3.52 $2.94 – $4.50 88,300 6
Hopkinsville, KY $3.54 $0.00 – $6.62 88,024 39
Wyandotte, MI $1.21 $0.00 – $313.78 87,947 29
Monterey Park, CA $4.70 $0.00 – $11.16 87,850 28
Beaumont, TX $5.01 $0.00 – $31.01 87,627 61
Eau Claire, WI $6.57 $0.00 – $12.23 87,576 26
Laurel, MS $2.13 $0.00 – $12.34 87,331 39
Clearwater, FL $0.69 $0.00 – $8.00 87,276 65
Manteca, CA $2.71 $0.00 – $4.36 87,247 17
Hopewell, VA $0.42 $0.00 – $2.77 87,221 10
London, KY $3.56 $0.10 – $6.43 87,124 55
Gallipolis, OH $6.80 $0.00 – $111.78 87,072 46
Northridge, CA $7.16 $0.00 – $13.05 87,013 40
Naples, FL $1.28 $0.00 – $66.87 87,003 70
Opelousas, LA $2.20 $0.00 – $6.13 86,465 64
Rock Hill, SC $17.90 $0.00 – $25.97 86,236 45
Brentwood, TN $0.61 $0.00 – $5.33 86,231 58
Lafayette, IN $3.00 $0.00 – $66.21 86,087 105
Lares, PR $3.59 $0.00 – $3.82 85,804 12
Hialeah, FL $0.65 $0.00 – $2.12 85,679 47
Columbus, MS $2.73 $0.00 – $6.92 85,480 29
East Meadow, NY $2.71 $0.24 – $67.36 85,361 14
Teaneck, NJ $2.25 $0.31 – $6.18 85,070 19
Great Falls, MT $1.04 $0.00 – $9.60 84,941 38
Garden City, MI $3.33 $0.00 – $127.70 84,941 24

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.