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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
Joliet, IL $1.92 $0.00 – $308.10 176,380 47
New Britain, CT $0.54 $0.00 – $7.71 175,867 40
N Hollywood, CA $5.47 $0.01 – $5.54 173,983 2
Gretna, LA $3.76 $0.00 – $7.55 173,301 73
Novi, MI $1.40 $0.00 – $6.41 172,969 14
Virginia Beach, VA $1.15 $0.00 – $20.28 172,701 157
Tulare, CA $2.02 $0.00 – $6.80 171,597 44
Moraine, OH $4.00 $0.46 – $4.02 171,583 8
Evansville, IN $3.04 $0.00 – $7.79 170,780 162
Oak Park, IL $0.87 $0.00 – $6.61 170,777 29
Montgomery, AL $2.73 $0.00 – $15.55 170,453 174
Pikeville, KY $4.44 $0.00 – $7.90 169,795 55
Voorhees, NJ $1.70 $0.00 – $7.47 168,188 39
Yakima, WA $1.46 $0.00 – $20.10 168,056 73
Concord, CA $2.88 $0.00 – $68.25 167,724 44
Bradenton, FL $0.68 $0.00 – $14.06 166,629 64
Glen Allen, VA $3.00 $0.22 – $7.12 165,708 25
Farmington, CT $1.10 $0.00 – $7.02 165,504 58
Gardena, CA $1.81 $0.00 – $6.59 165,451 38
French Camp, CA $2.66 $0.00 – $6.45 164,667 35
Racine, WI $9.40 $0.00 – $9.81 164,590 10
Puyallup, WA $0.43 $0.00 – $19.39 164,026 43
Staten Island, NY $5.05 $0.00 – $87.44 163,548 95
Paducah, KY $3.23 $0.00 – $53.66 162,774 69
Vancouver, WA $1.61 $0.00 – $762.50 161,517 140
Muskegon, MI $1.04 $0.00 – $6.93 161,250 25
Elmhurst, NY $2.69 $0.00 – $78.87 160,170 39
Aurora, CO $9.07 $0.00 – $101.16 160,074 477
Scottsdale, AZ $1.34 $0.00 – $106.04 159,489 105
Gulfport, MS $2.76 $0.00 – $25.39 159,415 40
Maywood, IL $1.68 $0.18 – $4.06 159,223 19
Hinsdale, IL $2.10 $0.00 – $5.08 158,416 17
Springfield, MO $44.06 $0.09 – $391.13 158,187 292
Anderson, SC $12.25 $0.09 – $148.03 157,915 50
Chula Vista, CA $9.17 $0.00 – $17.98 157,395 106
Kettering, OH $0.59 $0.00 – $7.01 157,306 140
Owensboro, KY $3.09 $0.00 – $8.43 157,297 78
Allentown, PA $4.72 $0.00 – $126.58 157,228 167
Inglewood, CA $1.28 $0.00 – $6.85 156,903 50
Lowell, MA $4.40 $0.52 – $7.35 156,622 36
Newport Beach, CA $1.42 $0.00 – $5.88 156,495 36
Harlingen, TX $3.24 $0.00 – $15.31 156,381 71
Renton, WA $1.84 $0.00 – $8.36 155,777 46
Marrero, LA $3.37 $0.00 – $9.09 155,571 76
Santa Rosa, CA $2.32 $0.00 – $27.52 154,855 67
Chesapeake, VA $1.87 $0.10 – $7.02 154,654 92
Worcester, MA $4.06 $0.00 – $21.73 153,738 87
Huntsville, AL $2.86 $0.00 – $11.70 153,437 183
Morgantown, WV $12.98 $0.00 – $46.52 152,536 117
Metairie, LA $2.75 $0.00 – $7.39 152,429 123

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.