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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
Clinton Township, MI $3.09 $0.00 – $6.44 21,262 21
Winnfield, LA $1.19 $0.00 – $5.75 21,251 18
Bethesda, MD $1.36 $0.00 – $20.66 21,240 24
Council Bluffs, IA $1.69 $0.00 – $15.69 21,080 62
Somerville, TN $1.54 $0.53 – $3.79 21,071 8
Dayton, TN $1.69 $0.00 – $2.63 20,960 16
Rochester Hills, MI $2.84 $0.00 – $8.22 20,902 18
Bedford, VA $0.56 $0.56 – $3.04 20,899 5
Omak, WA $11.90 $0.88 – $12.21 20,851 8
Athens, AL $2.49 $0.26 – $11.70 20,846 22
Bloomfield, NJ $0.57 $0.02 – $10.43 20,844 23
San Andreas, CA $4.98 $0.38 – $6.03 20,825 3
Ottumwa, IA $3.62 $0.00 – $17.35 20,820 25
Gresham, OR $1.40 $0.04 – $6.35 20,795 54
Oro Valley, AZ $0.13 $0.00 – $4.56 20,775 10
Shelton, CT $2.94 $0.00 – $6.65 20,751 26
Tustin, CA $3.17 $0.00 – $24.13 20,743 25
Cedar City, UT $7.17 $0.00 – $29.64 20,740 20
Haledon, NJ $0.43 $0.07 – $2.91 20,732 5
Maryville, TN $1.52 $0.00 – $5.36 20,721 54
Franklinton, LA $1.81 $0.00 – $5.49 20,720 15
Wright Patterson Afb, OH $0.74 $0.00 – $2.80 20,709 12
Danville, PA $3.54 $0.00 – $9.52 20,704 71
Eugene, OR $3.17 $0.00 – $13.06 20,685 75
Coupeville, WA $10.26 $2.49 – $10.27 20,621 3
Rocky Mount, VA $0.33 $0.24 – $7.44 20,609 4
Payson, AZ $0.48 $0.02 – $8.66 20,585 5
Kernersville, NC $4.63 $0.14 – $7.33 20,575 28
Hazel Crest, IL $1.28 $0.00 – $5.80 20,553 15
Mt Pleasant, SC $39.44 $0.27 – $56.47 20,521 16
Manitowoc, WI $7.83 $0.63 – $9.42 20,520 6
Pickens, SC $14.60 $3.38 – $18.48 20,481 4
Mount Laurel, NJ $2.01 $1.01 – $4.52 20,432 4
Lebanon, IN $2.29 $0.11 – $7.80 20,412 19
Vero Beach, FL $0.78 $0.00 – $18.99 20,406 36
West Jordan, UT $5.52 $0.00 – $12.16 20,387 13
Martin, KY $18.71 $0.22 – $20.71 20,378 5
Ardmore, OK $3.42 $1.53 – $8.17 20,345 28
East Chicago, IN $3.16 $1.11 – $6.67 20,345 18
Watertown, WI $10.74 $1.31 – $10.89 20,311 2
Mooresville, IN $3.23 $1.26 – $6.70 20,279 21
Port Townsend, WA $13.91 $1.12 – $14.95 20,262 8
Bay City, TX $3.19 $0.04 – $18.04 20,163 9
Camp Lejeune, NC $4.13 $0.00 – $5.46 20,137 21
Culver City, CA $1.42 $0.00 – $6.89 20,120 23
Albany, OR $3.23 $0.00 – $26.61 20,095 52
Hardeeville, SC $35.92 $1.95 – $62.29 20,093 3
Yucaipa, CA $1.05 $0.07 – $2.34 20,090 10
Irvine, KY $8.22 $0.20 – $9.90 20,049 13
Glen Cove, NY $2.12 $0.00 – $6.13 19,992 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.