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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
Wolf Point, MT $0.36 $0.36 – $0.36 8,267 1
Sulphur Springs, TX $2.59 $1.88 – $13.68 8,258 12
Lockport, IL $2.12 $2.12 – $2.12 8,256 1
Wauwatosa, WI $2.02 $0.00 – $7.52 8,254 16
North Miami Beach, FL $1.15 $0.00 – $4.71 8,243 25
Cheyenne, WY $2.62 $0.00 – $7.90 8,211 27
Rexburg, ID $2.18 $0.00 – $7.73 8,205 16
Sandy, UT $5.45 $0.00 – $6.81 8,204 9
Raeford, NC $1.76 $0.97 – $6.57 8,202 18
Cedarhurst, NY $2.13 $0.75 – $3.84 8,197 15
Hutchinson, KS $3.05 $0.89 – $13.09 8,184 19
Leavenworth, KS $2.75 $0.00 – $9.73 8,184 12
Prairieville, LA $2.48 $0.00 – $6.16 8,177 19
Berlin, NH $2.16 $1.55 – $2.16 8,169 2
Riverdale, MD $2.46 $0.00 – $2.74 8,166 5
Durango, CO $5.27 $0.00 – $26.90 8,159 41
Brevard, NC $3.53 $0.00 – $5.40 8,155 16
Oconomowoc, WI $3.84 $2.03 – $3.87 8,153 5
O Fallon, IL $3.11 $0.02 – $5.10 8,150 8
Tenafly, NJ $1.19 $0.35 – $2.26 8,145 16
Quincy, CA $3.93 $0.82 – $6.94 8,136 6
Harrogate, TN $0.61 $0.43 – $2.21 8,134 8
Linton, IN $2.73 $0.61 – $4.01 8,129 16
Aberdeen, MD $0.16 $0.16 – $1.25 8,127 2
New Hartford, NY $2.79 $0.00 – $8.50 8,125 28
Palm Springs, FL $0.80 $0.00 – $2.48 8,124 8
Shavano Park, TX $0.90 $0.60 – $5.76 8,115 3
Eaton Rapids, MI $0.23 $0.08 – $1.14 8,115 2
Rutherfordton, NC $3.46 $1.02 – $8.93 8,110 12
Montgomery, WV $17.34 $0.03 – $19.62 8,110 9
Talbott, TN $1.88 $1.13 – $5.15 8,098 6
Paragould, AR $10.53 $0.02 – $148.56 8,095 18
Saint Gabriel, LA $3.54 $0.00 – $4.67 8,074 5
Reisterstown, MD $1.13 $0.00 – $3.03 8,059 6
Islip, NY $1.79 $0.08 – $1.85 8,050 3
Sun City Center, FL $0.49 $0.07 – $0.79 8,049 3
Louisburg, NC $3.77 $1.22 – $6.29 8,036 11
Nellis Afb, NV $1.32 $0.00 – $7.04 8,019 21
Fair Oaks, CA $0.29 $0.00 – $0.44 8,009 6
Johnston, RI $2.23 $1.85 – $5.31 8,003 12
Beaver, WV $15.48 $1.60 – $23.27 8,001 9
Truckee, CA $5.62 $0.00 – $35.41 7,987 6
Abbeville, SC $1.92 $1.76 – $6.40 7,981 4
Wauseon, OH $3.66 $0.05 – $4.67 7,958 5
West Babylon, NY $1.27 $1.00 – $1.91 7,955 7
Maryville, IL $2.50 $0.10 – $5.36 7,938 10
Ocoee, FL $6.70 $0.00 – $28.09 7,927 17
Texas City, TX $3.57 $0.00 – $5.01 7,890 8
Mountain Home, ID $4.19 $0.03 – $4.59 7,872 5
Soddy Daisy, TN $1.62 $1.55 – $2.33 7,872 4

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.