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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
Jacksonville, TX $3.35 $1.58 – $13.09 9,533 11
New Richmond, WI $7.43 $0.09 – $8.30 9,522 4
Newberg, OR $6.76 $0.00 – $10.75 9,522 17
Kotzebue, AK $121.69 $0.50 – $122.95 9,501 2
Ackerman, MS $3.13 $1.59 – $31.50 9,484 3
South Ozone Park, NY $1.93 $1.08 – $5.28 9,470 7
North Canton, OH $4.50 $1.08 – $27.45 9,455 16
Georgetown, TX $1.96 $0.00 – $16.95 9,455 15
Colfax, WA $13.55 $2.24 – $13.61 9,447 2
Greensburg, PA $3.09 $0.35 – $7.36 9,435 27
Gouverneur, NY $11.25 $0.00 – $11.35 9,429 4
Tomball, TX $1.73 $1.04 – $3.99 9,427 21
Delran, NJ $5.43 $1.11 – $9.81 9,423 3
Coldwater, MS $1.10 $0.00 – $1.64 9,414 7
Schertz, TX $3.34 $1.89 – $8.36 9,411 10
Littleton, CO $2.59 $0.00 – $24.23 9,409 37
Richland Center, WI $3.99 $2.45 – $8.20 9,404 3
Boulder, CO $3.03 $0.00 – $27.31 9,399 49
Bryan, OH $2.01 $0.00 – $16.03 9,390 22
Willows, CA $2.37 $0.00 – $5.93 9,366 11
Lake Isabella, CA $2.04 $0.17 – $2.08 9,357 2
Bedford, OH $0.61 $0.00 – $2.07 9,311 7
Ansonia, CT $0.03 $0.00 – $2.31 9,292 10
Hamlet, NC $4.08 $0.00 – $5.30 9,291 6
Parker, AZ $1.14 $0.00 – $102.80 9,284 9
Orrville, OH $3.72 $0.00 – $4.24 9,280 5
Pitkin, LA $3.96 $3.96 – $3.96 9,259 1
Bay Minette, AL $2.85 $0.00 – $3.57 9,252 9
Broken Arrow, OK $4.20 $0.00 – $7.66 9,246 20
Garner, NC $5.41 $0.55 – $8.84 9,241 21
Cass City, MI $1.49 $0.33 – $5.60 9,226 5
Port Saint Lucie, FL $0.87 $0.00 – $2.78 9,222 23
Marion, KY $3.24 $2.60 – $3.55 9,179 3
Grand Forks, ND $6.46 $0.00 – $25.09 9,169 29
Greenfield, MA $4.70 $0.35 – $35.95 9,154 14
Minocqua, WI $8.54 $0.03 – $19.49 9,130 7
Warsaw, NY $15.38 $1.85 – $16.01 9,129 4
San Pablo, CA $0.78 $0.00 – $8.28 9,129 16
Alamo, TX $2.31 $0.00 – $7.72 9,126 10
Meridian, ID $3.31 $0.00 – $9.81 9,106 50
Travelers Rest, SC $18.59 $2.36 – $19.35 9,099 3
Englewood, OH $2.34 $0.00 – $9.66 9,091 18
Plainwell, MI $0.54 $0.41 – $2.36 9,074 3
Pahrump, NV $0.99 $0.00 – $11.68 9,071 17
Farmington, MI $1.99 $1.85 – $2.64 9,061 4
Duncan, OK $5.09 $1.69 – $13.59 9,058 15
Texarkana, AR $2.34 $0.00 – $7.23 9,051 20
Oconto Falls, WI $3.85 $3.82 – $5.85 9,034 2
Venice, CA $0.29 $0.00 – $15.33 9,026 23
Caro, MI $0.43 $0.21 – $2.47 9,021 5

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.