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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
Redwood City, CA $2.77 $0.00 – $13.46 61,161 18
Norman, OK $3.99 $0.00 – $26.67 61,072 78
Eunice, LA $2.65 $0.00 – $14.89 61,062 29
Lakewood, WA $0.90 $0.17 – $6.79 61,052 24
Sioux City, IA $1.33 $0.00 – $43.79 60,877 85
Camden, SC $16.79 $1.36 – $24.51 60,787 12
Holland, MI $0.94 $0.03 – $6.79 60,767 8
Kissimmee, FL $2.46 $0.00 – $33.96 60,647 104
Midland, TX $3.06 $0.00 – $5.51 60,557 33
Sandusky, OH $1.80 $0.00 – $17.35 60,406 47
Clarksville, TN $1.47 $0.00 – $5.34 60,318 128
Pasco, WA $10.95 $0.00 – $17.93 60,055 26
Valdosta, GA $3.09 $0.00 – $5.89 60,013 33
Barranquitas, PR $2.83 $0.47 – $4.02 59,938 6
Temecula, CA $2.31 $0.00 – $5.72 59,881 57
Bellflower, CA $1.73 $0.00 – $8.13 59,726 52
Richmond, IN $3.05 $0.00 – $9.17 59,696 76
Reno, NV $2.38 $0.00 – $11.92 59,619 124
Vicksburg, MS $3.93 $0.00 – $17.62 59,598 25
Manassas, VA $0.85 $0.00 – $7.03 59,595 37
Montclair, NJ $3.13 $0.11 – $11.93 59,578 9
Leesburg, VA $1.13 $0.07 – $6.78 59,562 25
Methuen, MA $1.85 $1.51 – $10.87 59,542 12
Slidell, LA $3.21 $0.00 – $5.94 59,509 64
Leitchfield, KY $4.13 $0.31 – $6.13 59,446 16
Henderson, KY $3.71 $0.13 – $7.25 59,369 27
Dover, DE $7.05 $0.00 – $24.21 59,290 68
Cape Girardeau, MO $39.90 $0.81 – $267.94 59,236 84
Biloxi, MS $3.53 $0.00 – $7.46 59,202 19
Martinsville, VA $1.59 $0.29 – $6.80 59,123 31
Sonora, CA $5.11 $0.01 – $175.00 59,062 17
Florence, KY $2.44 $0.00 – $6.42 59,036 34
Beaufort, SC $11.69 $0.57 – $12.49 58,955 17
Livingston, CA $1.94 $0.00 – $7.06 58,876 12
Pennington, NJ $2.52 $0.07 – $3.53 58,813 13
Springfield, OR $1.34 $0.00 – $12.78 58,733 113
Ottawa, IL $2.78 $2.12 – $5.70 58,708 10
Beverly Hills, CA $0.55 $0.00 – $5.58 58,649 31
Biddeford, ME $0.51 $0.00 – $5.83 58,558 12
Galax, VA $1.70 $0.75 – $6.81 58,370 20
Bay Shore, NY $1.49 $0.16 – $8.39 58,283 29
Las Piedras, PR $3.58 $0.00 – $3.83 58,274 8
Lake Forest, IL $1.99 $0.78 – $3.67 58,225 12
Winnsboro, LA $2.20 $0.00 – $5.01 58,038 32
Encino, CA $0.89 $0.00 – $3.36 58,003 27
St Clair Shores, MI $1.53 $1.53 – $1.53 57,945 1
Yreka, CA $2.61 $0.00 – $3.93 57,941 16
Helena, MT $0.67 $0.00 – $7.56 57,846 12
Simi Valley, CA $3.40 $0.00 – $9.69 57,824 24
Fond Du Lac, WI $5.07 $0.00 – $5.68 57,780 9

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.