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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
Plattsburgh, NY $8.56 $0.76 – $10.23 50,241 26
Cumberland, MD $6.70 $0.00 – $191.67 49,985 33
Easley, SC $14.99 $1.07 – $34.70 49,977 23
Kalispell, MT $2.18 $0.00 – $23.29 49,965 31
Oneonta, NY $22.08 $0.27 – $39.15 49,736 8
Lajas, PR $3.27 $2.88 – $3.55 49,680 7
Cordova, TN $2.25 $0.00 – $3.72 49,673 35
Cleveland, MS $2.62 $0.25 – $4.89 49,604 16
Winchester, TN $1.06 $0.15 – $2.18 49,422 33
Big Stone Gap, VA $0.89 $0.00 – $5.98 49,388 10
St George, UT $6.25 $0.19 – $7.23 49,358 28
La Jolla, CA $2.93 $0.00 – $14.41 49,341 47
Maysville, KY $3.48 $0.33 – $16.26 49,297 21
Palm Beach Gardens, FL $1.30 $0.00 – $2.66 49,229 18
Alamogordo, NM $7.17 $1.20 – $8.24 49,089 26
Milford, CT $1.59 $0.00 – $4.56 48,969 22
Woodbury, NJ $1.47 $0.03 – $4.80 48,941 7
Camuy, PR $2.91 $0.00 – $3.49 48,864 11
Loris, SC $20.24 $0.90 – $21.32 48,857 5
Red Bluff, CA $4.54 $0.00 – $5.84 48,838 16
Annapolis, MD $4.11 $0.00 – $37.06 48,825 56
Big Rapids, MI $0.86 $0.38 – $3.12 48,784 6
Sun City West, AZ $0.17 $0.00 – $2.63 48,760 9
Scarborough, ME $2.71 $0.00 – $2.87 48,637 5
Queen Creek, AZ $0.46 $0.00 – $7.11 48,633 14
Mayfield, KY $5.64 $0.00 – $6.42 48,554 17
East Liverpool, OH $4.03 $0.19 – $9.73 48,495 31
Fargo, ND $3.02 $0.00 – $33.15 48,430 63
Middlesboro, KY $10.67 $0.00 – $12.37 48,348 16
Dartmouth, MA $1.82 $0.91 – $6.66 48,328 53
Kinston, NC $3.49 $0.55 – $51.01 48,293 50
Arcadia, CA $3.11 $0.00 – $20.39 48,199 20
Covington, WA $0.73 $0.70 – $8.23 48,189 8
Amarillo, TX $2.38 $0.00 – $7.68 48,173 82
Coos Bay, OR $2.67 $0.00 – $9.71 48,001 32
Castro Valley, CA $6.18 $0.84 – $17.63 47,963 12
Harwood Heights, IL $5.10 $2.56 – $5.15 47,777 2
Gadsden, AL $2.10 $0.00 – $5.04 47,760 46
San Fernando, CA $0.62 $0.00 – $6.23 47,760 34
Ferndale, MI $3.18 $3.18 – $3.18 47,630 1
Fairfield, OH $1.46 $0.00 – $9.94 47,586 50
Walterboro, SC $20.82 $0.43 – $28.84 47,498 18
Ft Myers, FL $0.56 $0.00 – $2.39 47,432 8
Pompano Beach, FL $0.57 $0.00 – $6.71 47,358 25
Smithtown, NY $2.49 $0.00 – $8.81 47,277 29
Georgetown, KY $5.25 $0.09 – $12.31 47,274 22
Marion, OH $2.02 $0.00 – $6.61 47,267 36
Valencia, CA $4.56 $0.00 – $5.74 47,260 16
Trujillo Alto, PR $2.40 $0.00 – $3.81 47,211 13
Manahawkin, NJ $1.70 $0.00 – $15.67 47,201 16

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.