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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
Athens, OH $2.60 $0.00 – $15.61 39,247 44
Weirton, WV $11.88 $0.28 – $17.17 39,203 25
Cabo Rojo, PR $3.26 $2.70 – $3.86 39,199 10
Grayling, MI $1.16 $0.00 – $1.58 39,156 6
Nyack, NY $1.63 $0.10 – $4.69 39,117 14
Tiffin, OH $3.85 $1.00 – $21.75 39,080 18
Buckhannon, WV $32.37 $0.00 – $36.98 39,051 25
Shelton, WA $26.00 $0.00 – $28.44 39,035 13
Lincoln, NE $3.31 $0.00 – $16.33 38,981 114
Niagara Falls, NY $1.57 $0.31 – $10.01 38,977 21
Crowley, LA $2.33 $0.00 – $5.05 38,958 27
Selma, CA $0.42 $0.00 – $5.57 38,940 25
Iowa City, IA $2.62 $0.00 – $17.82 38,939 149
Newberry, SC $27.43 $0.02 – $46.37 38,839 13
Aguada, PR $3.44 $2.26 – $4.02 38,693 17
Lake City, FL $1.16 $0.00 – $1.90 38,579 24
Bedford, IN $4.90 $0.00 – $15.65 38,497 42
Shawano, WI $5.58 $0.05 – $5.62 38,477 2
Brunswick, ME $0.74 $0.71 – $3.16 38,401 4
Grass Valley, CA $4.43 $0.11 – $32.00 38,282 27
Carbondale, IL $2.08 $0.00 – $14.54 38,270 29
Steubenville, OH $4.28 $0.00 – $31.12 38,229 24
Saint Cloud, MN $5.50 $0.08 – $20.67 38,114 22
Orocovis, PR $2.87 $2.58 – $3.22 37,962 4
Mandeville, LA $2.53 $0.00 – $5.84 37,959 28
Abilene, TX $2.66 $0.00 – $11.25 37,940 50
Espanola, NM $6.55 $0.00 – $9.45 37,849 20
Guayama, PR $3.15 $0.02 – $4.02 37,793 11
Forest Hills, NY $3.33 $0.00 – $50.15 37,771 42
Cambridge, OH $4.12 $0.00 – $16.66 37,707 35
Saratoga Springs, NY $1.57 $0.88 – $13.26 37,550 14
Lebanon, NH $2.97 $0.00 – $11.58 37,549 32
Abbeville, LA $2.74 $0.00 – $6.80 37,502 24
Medford, OR $1.82 $0.00 – $27.14 37,473 148
Hudson, FL $0.59 $0.00 – $8.00 37,265 9
Humble, TX $12.74 $0.00 – $38.98 37,164 50
Opelika, AL $2.55 $0.00 – $7.67 37,132 54
Escanaba, MI $1.46 $0.62 – $7.13 36,982 5
Greeley, CO $2.16 $0.00 – $39.87 36,933 81
Lebanon, KY $3.60 $0.14 – $4.86 36,869 23
Trenton, MI $1.38 $0.02 – $27.72 36,824 16
Atwater, CA $1.72 $0.04 – $2.25 36,771 9
Norwalk, CA $1.84 $0.00 – $3.31 36,737 23
Columbia, MD $2.57 $0.00 – $17.74 36,563 53
Ithaca, NY $2.74 $1.86 – $7.92 36,526 12
Jonesboro, LA $2.63 $0.00 – $3.19 36,442 15
Wytheville, VA $1.51 $1.15 – $6.68 36,307 12
San Marcos, CA $0.57 $0.00 – $8.67 36,228 43
Davis, CA $4.67 $0.00 – $7.77 36,186 19
Jayuya, PR $3.78 $0.00 – $4.02 36,075 5

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.