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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
Davie, FL $0.66 $0.00 – $60.61 406,537 14
Dayton, OH $1.67 $0.00 – $406.15 405,929 324
Akron, OH $2.40 $0.00 – $335.02 401,522 320
Dearborn, MI $2.50 $0.00 – $6.86 401,312 64
Fort Worth, TX $4.34 $0.00 – $66.24 393,896 448
Monroe, LA $2.78 $0.00 – $5.27 383,126 202
Berkeley, CA $3.28 $0.00 – $9.17 377,997 44
Van Nuys, CA $2.42 $0.00 – $8.34 377,145 80
Hollywood, FL $0.93 $0.00 – $19.77 376,212 110
Chattanooga, TN $2.42 $0.00 – $46.12 374,235 319
Greensboro, NC $4.97 $0.00 – $32.19 371,333 220
Raleigh, NC $4.35 $0.00 – $205.03 369,296 329
Mobile, AL $2.81 $0.00 – $15.05 365,079 285
Hanford, CA $1.53 $0.00 – $12.60 357,203 53
Lancaster, CA $11.81 $0.00 – $86.33 355,223 94
Florence, SC $12.07 $0.00 – $37.85 354,122 126
Stockton, CA $2.85 $0.00 – $108.05 349,719 93
Murrieta, CA $2.38 $0.00 – $40.22 346,680 63
Lansing, MI $1.53 $0.00 – $11.77 346,463 54
San Juan, PR $3.33 $0.00 – $5.62 343,385 91
Mcallen, TX $3.15 $0.00 – $14.04 342,921 138
Gainesville, FL $1.01 $0.00 – $110.90 338,004 227
Victorville, CA $2.56 $0.00 – $5.80 332,567 62
Glendale, AZ $0.72 $0.00 – $7.46 331,868 130
Colton, CA $3.58 $0.00 – $12.05 331,864 108
Newark, NJ $4.03 $0.00 – $74.66 330,099 70
Flushing, NY $6.48 $0.00 – $33.23 330,081 115
Rockville, MD $5.23 $0.00 – $79.46 328,329 77
Tulsa, OK $5.63 $0.00 – $109.97 325,908 332
Saginaw, MI $1.04 $0.00 – $6.72 322,546 61
Linden, NJ $2.04 $0.34 – $2.09 322,194 5
Paterson, NJ $2.98 $0.00 – $80.78 321,288 63
Philadelphia, PA $3.28 $0.00 – $187.53 321,132 685
Merced, CA $3.09 $0.00 – $7.25 310,116 71
Glendale, CA $6.34 $0.00 – $24.76 308,281 105
Salinas, CA $3.73 $0.00 – $8.29 307,621 121
Spartanburg, SC $39.70 $0.00 – $100.80 306,811 100
Chino Hills, CA $3.11 $0.00 – $6.15 306,227 18
Yuma, AZ $0.51 $0.00 – $6.77 304,613 44
Saint Louis, MO $28.63 $0.00 – $896.92 302,928 501
Peoria, IL $2.89 $0.00 – $185.73 300,640 125
Ann Arbor, MI $1.89 $0.00 – $58.71 299,395 65
Torrance, CA $1.95 $0.00 – $18.50 298,285 123
Waterbury, CT $1.24 $0.00 – $7.89 298,065 81
Kalamazoo, MI $1.32 $0.00 – $6.58 298,050 51
San Francisco, CA $3.03 $0.00 – $24.17 294,240 230
Pendleton, OR $4.13 $0.39 – $4.16 291,762 14
Whittier, CA $2.51 $0.00 – $7.14 291,351 76
Hemet, CA $2.54 $0.00 – $46.18 288,867 57
Newport News, VA $1.15 $0.00 – $7.54 288,190 142

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.