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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
Greenville, OH $1.73 $0.21 – $16.56 18,980 21
Pittsfield, ME $0.43 $0.21 – $0.43 18,974 2
Prattville, AL $3.79 $0.00 – $7.26 18,953 7
Yucca Valley, CA $0.77 $0.00 – $3.58 18,936 13
West Burlington, IA $1.19 $0.00 – $8.07 18,895 36
Rincon, PR $2.65 $2.43 – $3.26 18,854 4
Massena, NY $17.42 $1.46 – $60.15 18,806 5
Dunkirk, NY $9.42 $0.50 – $41.20 18,791 8
Stafford Springs, CT $0.16 $0.00 – $4.45 18,788 4
Encinitas, CA $4.08 $0.00 – $15.62 18,780 22
Shelbyville, KY $3.92 $0.41 – $5.51 18,778 23
Bell Gardens, CA $1.27 $0.00 – $2.89 18,778 16
Vivian, LA $1.02 $0.00 – $4.16 18,774 7
Spring, TX $4.42 $0.14 – $61.26 18,765 22
Logansport, IN $2.31 $0.00 – $5.67 18,755 13
Lompoc, CA $2.26 $0.00 – $8.29 18,735 29
Fort Payne, AL $2.52 $0.00 – $11.40 18,570 24
Seaford, DE $2.65 $0.00 – $7.52 18,565 16
Brighton, CO $1.95 $0.00 – $14.73 18,548 38
Galion, OH $4.24 $0.00 – $50.01 18,517 19
Hyattsville, MD $2.49 $0.00 – $3.53 18,452 18
Bluefield, WV $12.12 $0.45 – $18.43 18,450 7
Brownwood, TX $3.73 $0.00 – $15.42 18,445 11
Polson, MT $0.53 $0.00 – $3.61 18,428 6
Warrenton, VA $0.77 $0.11 – $4.92 18,399 7
Low Moor, VA $0.69 $0.69 – $0.69 18,363 1
Kalkaska, MI $1.11 $0.00 – $1.11 18,346 3
Marysville, OH $2.45 $0.00 – $8.41 18,332 17
Waupaca, WI $3.65 $0.92 – $8.52 18,331 6
Colville, WA $13.17 $1.58 – $13.26 18,286 4
Canton, MI $3.23 $0.02 – $6.58 18,282 18
Lees Summit, MO $50.29 $0.00 – $508.50 18,276 34
Lebanon, VA $0.85 $0.57 – $5.59 18,221 7
Ogdensburg, NY $1.90 $0.00 – $3.82 18,214 5
Vienna, VA $1.07 $0.00 – $5.03 18,196 11
Goshen, IN $2.48 $0.00 – $4.16 18,189 41
Troy, AL $2.60 $0.00 – $3.50 18,176 23
Salem, NJ $1.62 $0.07 – $3.53 18,165 6
Lebanon, PA $2.17 $0.00 – $9.19 18,163 35
Russellville, KY $6.67 $0.11 – $7.60 18,147 13
East Northport, NY $2.28 $2.04 – $2.68 18,106 3
Saint Clair Shores, MI $4.24 $1.29 – $16.69 18,097 9
Hudson, OH $0.97 $0.00 – $20.97 17,966 20
Hillsboro, OR $2.72 $0.00 – $13.38 17,901 62
Imperial, CA $2.65 $1.96 – $2.67 17,838 2
Port Hueneme, CA $3.22 $2.46 – $3.22 17,823 2
Dorado, PR $3.13 $2.45 – $3.45 17,804 11
Menomonie, WI $2.95 $1.80 – $5.93 17,790 4
Plymouth, NH $18.90 $0.65 – $45.46 17,782 9
Altoona, PA $4.20 $0.07 – $8.90 17,772 48

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.