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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
Greeneville, TN $1.63 $0.00 – $4.42 25,574 48
Madison, AL $2.79 $0.00 – $10.44 25,536 32
San Ysidro, CA $0.56 $0.00 – $3.67 25,427 23
Massillon, OH $2.90 $0.07 – $40.44 25,415 34
St Louis Park, MN $4.75 $0.00 – $23.13 25,406 45
Alabaster, AL $3.14 $0.00 – $5.64 25,383 26
South Haven, MI $0.93 $0.76 – $2.71 25,364 2
Panama City, FL $2.43 $0.00 – $86.62 25,301 61
Fishers, IN $2.11 $0.46 – $22.96 25,235 41
Christiansted, St. Croix, VI $22.08 $22.08 – $22.08 25,235 1
Ponca City, OK $3.16 $0.67 – $7.66 25,230 18
Mount Vernon, KY $4.15 $0.86 – $4.43 25,215 10
Hope Mills, NC $4.13 $0.89 – $4.81 25,178 7
Elkton, MD $3.85 $0.00 – $19.83 25,162 13
Jackson, KY $2.46 $0.18 – $7.51 25,159 13
Apache Junction, AZ $0.16 $0.04 – $3.14 25,159 6
Norwich, NY $7.26 $4.30 – $7.26 25,158 2
Jefferson City, MO $22.66 $0.10 – $308.52 25,127 32
Monticello, KY $4.85 $0.11 – $8.38 25,093 25
Logan, UT $5.77 $0.00 – $6.22 24,993 16
Rio Grande City, TX $3.96 $0.00 – $11.11 24,990 25
Joshua Tree, CA $4.64 $0.58 – $5.76 24,941 5
Rio Rancho, NM $7.05 $0.00 – $17.24 24,934 33
Rhinelander, WI $7.39 $0.49 – $8.00 24,895 3
Lakeport, CA $4.15 $0.00 – $4.50 24,870 9
Cortland, NY $22.68 $0.00 – $23.94 24,867 16
Secaucus, NJ $1.67 $0.00 – $2.92 24,860 21
Orange City, FL $1.95 $0.00 – $9.49 24,845 19
Scottsboro, AL $2.42 $0.46 – $5.19 24,838 19
Kenmore, NY $1.16 $1.16 – $1.16 24,827 1
Corvallis, OR $4.85 $0.00 – $17.08 24,791 49
Towson, MD $1.28 $0.00 – $7.29 24,740 35
Laconia, NH $2.23 $0.00 – $14.36 24,731 13
Fort Bragg, CA $3.26 $0.00 – $7.38 24,730 14
Morehead City, NC $3.02 $0.28 – $6.85 24,729 39
Scranton, PA $2.77 $0.00 – $10.55 24,690 50
West New York, NJ $0.60 $0.00 – $1.35 24,666 24
Batesville, MS $1.62 $0.00 – $2.73 24,615 17
Monroeville, PA $0.60 $0.00 – $6.52 24,590 22
Fair Lawn, NJ $1.24 $0.11 – $4.56 24,585 13
Catano, PR $3.89 $3.10 – $4.12 24,563 5
Batavia, NY $3.19 $0.00 – $7.26 24,496 10
Madison, WV $24.22 $0.00 – $40.00 24,490 13
Plymouth, MA $4.18 $0.80 – $6.85 24,397 26
Sabana Grande, PR $3.10 $1.14 – $4.08 24,394 10
Easton, MD $4.75 $0.00 – $10.14 24,387 32
Paris, KY $4.78 $0.39 – $6.78 24,374 8
Oak Ridge, TN $1.99 $0.00 – $4.68 24,338 47
Coral Gables, FL $1.42 $0.00 – $77.83 24,259 34
Clio, MI $3.40 $1.50 – $6.27 24,229 4

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.