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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
Union City, TN $1.84 $0.53 – $3.65 15,818 29
Many, LA $1.74 $0.00 – $3.29 15,774 15
Brighton, MA $3.81 $0.29 – $5.21 15,765 14
Redmond, OR $2.20 $0.00 – $11.67 15,746 71
Marshalltown, IA $0.27 $0.00 – $10.08 15,683 20
Jackson, OH $2.59 $0.00 – $53.69 15,674 15
Bogalusa, LA $2.86 $0.00 – $4.78 15,660 28
Hardin, MT $0.11 $0.00 – $1.73 15,659 5
Caldwell, ID $3.96 $0.00 – $7.75 15,575 19
Savannah, TN $2.59 $1.02 – $4.27 15,569 24
Novato, CA $4.75 $1.88 – $4.98 15,546 4
Fairhope, AL $2.43 $1.00 – $4.33 15,545 29
Pontotoc, MS $2.67 $1.34 – $3.41 15,520 5
Weatherford, TX $3.10 $1.42 – $4.16 15,518 13
Crown Point, IN $2.63 $0.00 – $8.59 15,504 43
Harrisville, MI $1.15 $1.12 – $1.15 15,488 2
Bunkie, LA $3.73 $0.00 – $4.32 15,487 7
Stockbridge, GA $3.68 $0.00 – $6.80 15,428 26
Ironton, OH $2.57 $0.00 – $8.34 15,383 30
Donaldsonville, LA $0.15 $0.00 – $3.10 15,381 6
Union City, NJ $0.75 $0.00 – $3.17 15,374 11
Homer, LA $1.27 $0.00 – $3.22 15,329 13
Atascadero, CA $2.75 $0.04 – $3.44 15,319 7
Carthage, MS $2.97 $0.00 – $38.57 15,273 10
Shelby, MI $1.98 $0.19 – $2.10 15,262 3
Sleepy Hollow, NY $1.15 $0.53 – $2.71 15,252 7
Foley, AL $2.08 $0.06 – $4.94 15,249 22
South San Francisco, CA $1.97 $0.00 – $3.80 15,237 7
Warwick, RI $6.76 $0.00 – $205.62 15,230 37
West Memphis, AR $3.14 $0.00 – $5.39 15,229 20
Lone Tree, CO $3.71 $0.00 – $33.00 15,207 37
Pataskala, OH $1.86 $0.77 – $6.79 15,186 6
Hazel Park, MI $2.69 $1.74 – $3.10 15,182 5
Gallatin, TN $1.86 $0.00 – $25.11 15,167 35
Washington, IN $2.86 $1.19 – $5.53 15,150 19
Clinton, IA $3.49 $0.00 – $8.13 15,146 36
Evans, CO $0.20 $0.00 – $27.37 15,107 30
Langhorne, PA $0.76 $0.24 – $5.15 15,092 13
Egg Harbor Township, NJ $0.25 $0.20 – $2.91 15,088 11
Luling, LA $3.10 $0.00 – $5.50 15,083 18
Lincoln, ME $1.82 $0.68 – $3.20 15,074 3
Jamestown, TN $1.91 $0.72 – $2.86 15,060 14
Sidney, OH $5.49 $0.00 – $24.33 15,057 14
Wasco, CA $3.29 $0.00 – $11.57 15,015 13
Milford, OH $0.75 $0.11 – $5.60 15,004 20
Hornell, NY $16.57 $1.97 – $19.04 14,996 4
Charlevoix, MI $0.78 $0.06 – $2.87 14,995 6
Page, AZ $0.15 $0.00 – $1.92 14,981 6
Chardon, OH $1.28 $0.10 – $6.84 14,937 14
Ironwood, MI $1.97 $1.89 – $4.01 14,928 2

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.