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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
Hamden, CT $0.79 $0.00 – $6.74 13,511 25
Orchard Park, NY $1.62 $0.00 – $6.54 13,506 29
Minot, ND $2.55 $0.00 – $30.59 13,503 27
Independence, MO $34.54 $0.00 – $447.96 13,489 28
West Plains, MO $13.35 $1.22 – $271.06 13,484 30
Dalton, GA $2.64 $0.00 – $8.86 13,476 37
Coral Springs, FL $0.56 $0.00 – $12.50 13,467 45
Pullman, WA $20.55 $0.94 – $22.74 13,463 10
Sullivan, IN $1.85 $0.63 – $2.52 13,453 12
Shawnee, OK $4.76 $1.63 – $7.66 13,449 22
Williamsport, PA $3.09 $0.00 – $8.47 13,445 38
Durant, OK $3.80 $1.60 – $51.17 13,422 21
Indianola, MS $2.34 $0.00 – $2.61 13,353 8
Milan, TN $2.09 $0.07 – $3.77 13,344 9
Youngsville, LA $3.41 $0.00 – $3.77 13,342 7
Mamou, LA $2.05 $0.00 – $4.10 13,324 10
Darien, IL $2.82 $2.82 – $2.82 13,310 1
Gibsonton, FL $0.56 $0.01 – $0.65 13,308 2
Cherry Hill, NJ $2.44 $0.00 – $8.72 13,294 33
Olney, IL $1.54 $0.00 – $5.02 13,272 6
Two Rivers, WI $8.50 $3.01 – $12.97 13,258 3
Stuart, FL $1.30 $0.00 – $3.55 13,221 31
Deland, FL $0.92 $0.00 – $4.30 13,217 34
Rockwall, TX $3.87 $0.82 – $15.94 13,207 12
Northampton, MA $3.55 $2.47 – $6.53 13,199 7
Phila, PA $0.37 $0.00 – $5.11 13,186 16
Wellsboro, PA $3.31 $0.00 – $4.30 13,161 6
Carrollton, KY $18.46 $0.14 – $21.50 13,157 7
Cinnaminson, NJ $0.05 $0.02 – $3.76 13,142 5
Saint Johns, MI $0.74 $0.23 – $2.88 13,058 4
Enfield, CT $1.67 $0.00 – $8.13 13,038 30
Wayne, NJ $2.25 $0.00 – $8.69 13,022 15
Libby, MT $0.54 $0.00 – $2.12 13,018 3
Carthage, NY $19.65 $1.85 – $56.42 13,013 4
Forest, MS $3.30 $0.00 – $3.87 12,990 13
Issaquah, WA $0.57 $0.12 – $7.53 12,966 8
Dowagiac, MI $0.59 $0.00 – $0.65 12,965 4
Superior, WI $4.56 $2.43 – $49.60 12,964 5
East Lansing, MI $2.23 $1.49 – $8.00 12,960 11
Duarte, CA $11.44 $0.00 – $16.82 12,955 14
Kingwood, WV $29.86 $1.31 – $41.60 12,946 11
Sturgeon Bay, WI $4.89 $4.28 – $4.90 12,945 2
Tylertown, MS $4.16 $0.00 – $4.17 12,936 2
New Castle, IN $2.83 $0.22 – $7.16 12,935 17
Bryan, TX $6.12 $0.00 – $22.65 12,910 17
Los Lunas, NM $3.16 $1.89 – $7.38 12,910 18
La Grande, OR $7.43 $1.22 – $11.12 12,897 17
American Fork, UT $9.17 $0.00 – $38.82 12,895 15
Hormigueros, PR $3.21 $2.82 – $3.92 12,885 3
Killeen, TX $4.37 $0.00 – $56.20 12,859 20

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.