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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
Elma, WA $12.16 $0.00 – $50.50 44,216 6
Morovis, PR $2.54 $1.32 – $3.90 44,210 7
York, PA $4.07 $0.00 – $19.50 44,205 134
Covington, KY $2.99 $0.50 – $6.96 44,170 17
Avon, IN $3.23 $0.20 – $7.51 44,166 58
Greenwich, CT $1.51 $0.32 – $5.19 43,997 9
Waco, TX $3.17 $0.07 – $15.01 43,942 88
Gonzales, LA $1.95 $0.00 – $6.96 43,927 30
Richmond, CA $1.44 $0.00 – $2.15 43,900 11
Provo, UT $8.52 $0.00 – $11.28 43,891 27
Stafford, VA $0.79 $0.00 – $5.88 43,875 14
Beverly, MA $4.19 $2.58 – $7.59 43,710 7
Rocky Hill, CT $7.32 $0.00 – $7.43 43,683 7
Chantilly, VA $3.08 $0.00 – $3.15 43,585 10
Baytown, TX $3.58 $0.00 – $15.92 43,493 26
Placerville, CA $7.25 $0.00 – $9.76 43,423 16
Napa, CA $2.61 $0.00 – $58.29 43,374 22
Sheboygan, WI $6.03 $0.00 – $11.04 43,249 12
Hoffman Estates, IL $2.43 $0.00 – $3.63 43,227 10
Whiteville, NC $2.57 $0.00 – $7.29 43,215 43
Guayanilla, PR $4.67 $0.00 – $4.96 43,193 6
Fremont, MI $0.73 $0.20 – $0.76 43,082 4
Palos Heights, IL $2.16 $1.91 – $4.02 42,972 8
Stevens Point, WI $7.38 $0.00 – $7.88 42,841 10
Sayre, PA $5.75 $0.00 – $10.44 42,789 19
Sikeston, MO $23.25 $0.00 – $109.34 42,721 44
Chicago Heights, IL $0.25 $0.00 – $4.31 42,708 12
Saint Paul, MN $6.54 $0.00 – $317.07 42,608 189
Morristown, TN $2.19 $0.00 – $7.39 42,580 79
Pharr, TX $1.65 $0.00 – $9.68 42,563 28
Corona, NY $0.97 $0.00 – $4.98 42,541 15
Frederick, MD $2.85 $0.00 – $54.91 42,438 55
Union, SC $21.71 $0.96 – $30.84 42,418 9
Twinsburg, OH $3.27 $0.02 – $5.37 42,219 12
Guntersville, AL $3.52 $1.54 – $11.93 42,211 23
Hobart, IN $3.21 $1.65 – $7.08 42,124 22
Ruston, LA $1.87 $0.00 – $4.17 42,022 37
Beavercreek, OH $1.60 $0.00 – $19.49 41,991 32
Warrensville Heights, OH $0.56 $0.00 – $6.10 41,973 25
Gaylord, MI $1.24 $0.84 – $6.45 41,924 8
Prosser, WA $17.26 $1.86 – $19.05 41,823 5
Pleasanton, CA $4.65 $0.00 – $21.99 41,823 14
Cynthiana, KY $4.58 $0.24 – $6.12 41,784 9
Columbus, GA $2.47 $0.00 – $5.23 41,644 36
Danville, IN $2.91 $0.00 – $7.35 41,599 33
Collegeville, PA $3.73 $3.73 – $3.73 41,561 1
Jennings, LA $2.31 $0.00 – $4.68 41,559 14
Webster, TX $3.19 $0.00 – $33.31 41,541 49
Clare, MI $1.12 $1.06 – $4.91 41,478 3
Union, NJ $2.35 $0.00 – $2.45 41,454 11

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.