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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
Roanoke Rapids, NC $3.73 $0.51 – $7.90 33,706 24
Medford, MA $4.36 $0.00 – $12.21 33,691 7
Aibonito, PR $3.42 $0.00 – $3.61 33,557 6
Bayonne, NJ $4.35 $0.00 – $4.42 33,505 9
Marion, IL $12.36 $0.00 – $41.99 33,489 21
Alton, IL $1.25 $0.00 – $169.38 33,487 22
Hartford, KY $6.44 $1.59 – $6.44 33,452 2
Newark, DE $2.58 $0.00 – $26.58 33,414 97
Bartlett, TN $2.26 $0.29 – $6.42 33,320 36
Coronado, CA $10.43 $0.00 – $18.66 33,180 10
Layton, UT $6.67 $0.00 – $55.86 33,131 15
Oviedo, FL $0.87 $0.00 – $53.40 33,117 15
Safford, AZ $0.18 $0.00 – $20.48 32,983 17
Crescent City, CA $3.69 $0.00 – $6.45 32,978 15
Round Rock, TX $2.18 $0.00 – $65.54 32,966 50
Waynesboro, MS $2.48 $0.00 – $3.17 32,966 12
Hato Rey, PR $3.27 $3.27 – $3.27 32,940 1
Klamath Falls, OR $1.10 $0.00 – $8.38 32,913 54
Red Bank, NJ $1.53 $0.02 – $4.79 32,897 8
Bend, OR $1.23 $0.00 – $18.89 32,882 104
Pleasant Hill, LA $0.23 $0.23 – $0.23 32,829 1
Florence, AL $2.55 $0.00 – $24.71 32,808 58
Cottonwood, AZ $0.46 $0.00 – $6.18 32,701 12
Jasper, IN $2.19 $0.29 – $6.17 32,614 28
Richmond, TX $3.57 $0.00 – $25.96 32,600 20
Lewiston, NY $1.55 $0.00 – $2.89 32,594 7
Breaux Bridge, LA $4.05 $0.46 – $5.62 32,575 15
Paramus, NJ $10.29 $0.00 – $63.63 32,521 12
Tehachapi, CA $2.38 $0.00 – $3.31 32,505 8
Deridder, LA $1.56 $0.60 – $6.66 32,486 22
Hyannis, MA $4.04 $0.87 – $6.84 32,362 30
Gloversville, NY $2.89 $1.52 – $3.48 32,355 12
Lake Havasu City, AZ $0.81 $0.00 – $6.16 32,317 5
Folsom, CA $8.81 $0.00 – $273.13 32,307 22
San German, PR $3.58 $3.19 – $3.72 32,288 6
Lenoir, NC $3.33 $1.29 – $16.53 32,233 37
Saint Helena, CA $1.48 $0.19 – $7.64 32,195 10
Conroe, TX $2.58 $0.00 – $27.90 32,184 44
Dorchester, MA $3.49 $0.75 – $7.14 32,145 14
Oak Grove, LA $1.93 $0.00 – $2.79 32,141 10
Los Alamitos, CA $2.62 $0.00 – $19.00 32,096 24
Christiansburg, VA $0.75 $0.00 – $12.54 32,026 21
San Tan Valley, AZ $3.68 $0.01 – $7.42 32,025 29
North Chesterfield, VA $2.07 $0.12 – $6.83 31,905 35
Trumbull, CT $0.13 $0.00 – $4.55 31,784 25
Columbus, IN $2.82 $0.13 – $7.01 31,776 57
Fort Bragg, NC $5.41 $0.00 – $97.33 31,773 43
Sarasota, FL $1.20 $0.00 – $45.09 31,690 66
Statesville, NC $4.65 $0.15 – $14.50 31,676 53
Parlier, CA $0.09 $0.00 – $2.09 31,656 12

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.