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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
Kingman, AZ $1.69 $0.00 – $11.26 84,911 30
Bridgeport, WV $15.82 $0.29 – $42.30 84,902 41
Everett, WA $1.68 $0.00 – $28.82 84,726 88
Henderson, NV $1.88 $0.00 – $7.35 84,432 152
Wausau, WI $6.03 $0.00 – $6.80 84,392 20
Winchester, KY $3.82 $0.09 – $7.43 84,240 26
Antioch, CA $2.30 $0.00 – $5.39 84,233 13
Holyoke, MA $4.06 $0.00 – $6.60 84,202 29
Melrose Park, IL $2.32 $0.00 – $2.89 83,834 10
Martinsburg, WV $10.33 $0.00 – $53.41 83,831 45
Sioux Falls, SD $5.44 $0.00 – $72.78 83,828 43
Schenectady, NY $2.33 $0.14 – $16.29 83,657 64
Pomona, NJ $1.04 $0.37 – $1.04 83,605 2
Elizabeth, NJ $3.19 $0.00 – $12.61 83,360 18
Harbor City, CA $1.69 $0.00 – $20.58 83,248 30
Beloit, WI $8.15 $1.87 – $8.17 83,039 4
Miami Beach, FL $0.55 $0.00 – $11.19 82,882 48
Montebello, CA $1.88 $0.00 – $5.00 82,621 32
Midlothian, VA $1.03 $0.39 – $10.98 82,499 45
Lubbock, TX $4.99 $0.00 – $224.99 82,492 148
Columbia, MO $34.35 $0.00 – $551.54 82,439 179
Owosso, MI $0.85 $0.75 – $2.71 82,378 7
Springfield, OH $1.62 $0.00 – $22.28 82,267 80
Appleton, WI $6.57 $0.00 – $8.64 81,776 22
Los Banos, CA $4.07 $0.01 – $4.83 81,425 12
Traverse City, MI $1.21 $0.03 – $6.56 81,067 18
Madisonville, KY $4.02 $0.09 – $7.33 81,040 36
Oxford, MS $2.39 $0.00 – $7.75 81,031 38
Beckley, WV $13.22 $0.00 – $63.86 80,851 54
Huntington Beach, CA $0.78 $0.00 – $9.03 80,400 37
Jamestown, NY $2.24 $0.08 – $21.35 80,370 31
Mount Clemens, MI $1.68 $0.07 – $6.52 80,267 17
Chapel Hill, NC $3.69 $0.00 – $10.91 79,973 176
Cookeville, TN $2.15 $0.00 – $7.43 79,818 89
Pittsfield, MA $5.43 $0.00 – $10.25 79,716 29
Westlake, OH $0.83 $0.00 – $6.97 79,624 45
Gastonia, NC $3.50 $0.00 – $10.21 79,592 105
Chino, CA $4.07 $0.00 – $5.85 79,584 36
Patillas, PR $3.86 $0.00 – $3.97 79,569 4
Savannah, GA $0.81 $0.00 – $17.00 79,486 46
Joplin, MO $27.63 $0.00 – $419.67 79,322 137
Boynton Beach, FL $0.83 $0.00 – $9.45 79,320 48
Putnam, CT $2.03 $0.00 – $12.22 79,045 11
Brooksville, FL $0.50 $0.00 – $4.04 79,000 26
Williamsburg, VA $1.70 $0.00 – $24.12 78,948 40
Rockville Centre, NY $1.52 $0.00 – $4.71 78,772 30
Manati, PR $3.44 $1.05 – $7.25 78,665 16
Hagerstown, MD $3.63 $0.00 – $45.78 78,654 61
Atlantis, FL $0.42 $0.00 – $5.20 78,564 12
Harrisonburg, VA $0.67 $0.00 – $6.94 78,474 23

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.