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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
Columbia, MS $2.92 $0.00 – $3.04 19,990 7
Kingsville, TX $3.14 $0.92 – $6.47 19,953 14
Ahoskie, NC $4.02 $1.77 – $9.64 19,923 16
Welch, WV $5.59 $2.46 – $20.22 19,885 5
Coushatta, LA $1.59 $0.00 – $3.22 19,878 13
Coachella, CA $0.54 $0.00 – $2.64 19,871 14
Oberlin, OH $0.88 $0.03 – $1.90 19,845 7
Greensboro, GA $2.21 $0.00 – $2.32 19,824 4
Franklin, TN $3.15 $0.00 – $8.35 19,812 42
Fort Dodge, IA $2.21 $0.00 – $20.24 19,791 22
Machias, ME $0.56 $0.31 – $5.69 19,790 4
Blairsville, GA $1.79 $0.69 – $2.99 19,693 11
Pico Rivera, CA $0.12 $0.00 – $3.92 19,688 20
La Verne, CA $2.85 $0.95 – $2.92 19,640 4
College Station, TX $3.26 $0.00 – $13.06 19,632 38
Christiansted, VI $14.46 $0.68 – $32.32 19,601 17
Mc Dowell, KY $13.97 $0.00 – $13.98 19,572 2
Ciales, PR $3.27 $0.00 – $3.57 19,567 8
Arlington Heights, IL $1.93 $0.00 – $12.14 19,539 22
Portage, WI $8.91 $2.67 – $9.05 19,536 4
Portales, NM $8.76 $0.20 – $24.79 19,525 4
Melville, NY $2.67 $1.48 – $2.86 19,478 3
Tinley Park, IL $1.85 $0.29 – $6.23 19,470 8
Alameda, CA $3.35 $0.00 – $4.20 19,460 7
Bell, CA $0.33 $0.00 – $4.17 19,460 15
Monroe, WA $1.92 $0.00 – $13.97 19,460 11
Sturgis, MI $1.08 $0.87 – $3.20 19,424 5
Artesia, NM $6.27 $0.00 – $8.16 19,410 12
West Valley City, UT $6.69 $0.00 – $8.61 19,387 17
Palestine, TX $2.86 $0.88 – $7.23 19,381 19
Bucyrus, OH $1.80 $0.01 – $9.30 19,367 10
Palmer, MA $3.87 $1.16 – $5.99 19,334 7
Milledgeville, GA $3.90 $0.54 – $7.19 19,312 12
Crossville, TN $2.11 $0.00 – $4.84 19,305 41
East Boston, MA $4.78 $0.01 – $6.29 19,302 7
Michigan City, IN $3.02 $0.47 – $7.12 19,299 56
Inverness, FL $0.64 $0.00 – $20.50 19,290 19
Old Bridge, NJ $1.85 $0.00 – $1.86 19,270 6
Xenia, OH $2.78 $0.00 – $6.13 19,234 16
Seminole, TX $4.11 $0.91 – $5.69 19,234 5
Centerville, OH $4.01 $0.20 – $13.39 19,201 43
Corning, NY $1.20 $0.00 – $7.71 19,194 10
Berkeley Heights, NJ $2.97 $0.00 – $4.09 19,189 5
Lebanon, OR $9.74 $0.00 – $29.55 19,159 31
Lexington, MS $3.26 $0.00 – $3.40 19,110 7
Grand Haven, MI $0.88 $0.29 – $17.51 19,103 7
Altamonte Springs, FL $1.50 $0.00 – $7.87 19,099 27
Florida, PR $2.25 $1.33 – $3.31 19,088 3
South Lake Tahoe, CA $5.56 $0.33 – $6.35 19,067 12
Rumford, ME $0.30 $0.30 – $0.30 19,065 1

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.