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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
Madison, IN $2.82 $0.81 – $7.23 14,921 16
Moore, OK $4.41 $0.00 – $8.44 14,907 32
Hazlehurst, MS $3.63 $0.00 – $3.70 14,906 5
Richmond Heights, OH $0.64 $0.00 – $5.21 14,898 13
Nacogdoches, TX $3.12 $0.03 – $8.50 14,874 29
Elkin, NC $3.39 $0.69 – $8.09 14,863 28
Jackson, CA $7.13 $1.58 – $7.28 14,835 6
Templeton, CA $0.96 $0.00 – $4.84 14,829 19
Springfield, TN $2.34 $0.00 – $21.15 14,819 23
Sahuarita, AZ $0.13 $0.00 – $5.41 14,800 4
Luray, VA $3.76 $0.59 – $3.99 14,778 4
League City, TX $4.07 $2.23 – $15.36 14,765 11
Demopolis, AL $2.37 $0.00 – $6.12 14,746 11
Greenfield, CA $1.26 $1.19 – $2.26 14,727 4
Quincy, MA $4.36 $0.00 – $6.44 14,678 19
Huntington, IN $2.60 $0.00 – $5.25 14,670 19
Pine Bluff, AR $2.63 $0.00 – $16.57 14,668 29
Little Falls, NY $19.79 $19.79 – $19.79 14,656 1
Tomah, WI $4.68 $2.20 – $4.69 14,654 2
West Seneca, NY $2.15 $0.59 – $4.10 14,647 30
Reedsburg, WI $4.72 $4.67 – $5.43 14,646 2
Clayton, NC $3.24 $0.00 – $9.23 14,641 25
Hereford, TX $3.44 $1.31 – $6.98 14,624 8
Fillmore, CA $0.58 $0.01 – $0.97 14,618 8
Agoura Hills, CA $4.84 $3.64 – $4.84 14,612 2
Seymour, IN $3.60 $0.71 – $7.23 14,607 24
Salem, OH $3.58 $0.00 – $6.04 14,595 12
Fortuna, CA $3.40 $0.00 – $4.39 14,592 9
Austintown, OH $2.54 $0.04 – $9.26 14,564 19
Oak Hill, WV $25.38 $0.00 – $37.78 14,556 12
Rochester, NH $2.29 $0.77 – $5.35 14,526 7
Eagle Pass, TX $1.33 $0.00 – $4.27 14,417 12
Uniontown, PA $4.55 $1.94 – $11.85 14,409 37
Waipahu, HI $11.51 $0.00 – $36.05 14,402 22
Bingham Farms, MI $2.16 $0.00 – $2.66 14,383 5
Wooster, OH $2.96 $0.05 – $21.56 14,369 17
Union, MS $3.32 $0.02 – $3.35 14,329 2
Saint Martinville, LA $0.64 $0.00 – $3.68 14,296 3
Canal Winchester, OH $1.12 $0.00 – $6.75 14,293 8
Franklin, KY $3.76 $0.16 – $5.98 14,292 18
Lauderdale Lakes, FL $1.12 $0.00 – $3.20 14,289 18
Plainview, NY $1.49 $0.18 – $7.04 14,288 24
Marksville, LA $0.33 $0.00 – $2.77 14,276 15
Plaquemine, LA $1.83 $0.00 – $2.85 14,257 6
Los Gatos, CA $1.44 $0.00 – $14.49 14,255 19
Brandon, MS $3.42 $0.00 – $5.55 14,246 8
Patterson, CA $1.46 $0.00 – $2.27 14,243 8
Fairmont, WV $35.02 $0.00 – $75.95 14,208 16
Sedro Woolley, WA $11.40 $11.40 – $11.40 14,189 1
Rowlett, TX $5.04 $0.92 – $8.14 14,165 9

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.