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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
Plantation, FL $0.56 $0.00 – $4.82 151,765 87
Orange Park, FL $0.62 $0.00 – $16.73 151,057 43
Arecibo, PR $3.75 $2.12 – $4.08 150,894 23
Galveston, TX $4.16 $1.05 – $61.44 150,485 53
Roseville, CA $4.87 $0.00 – $49.40 149,801 28
Brawley, CA $3.99 $0.00 – $16.00 148,944 36
Meridian, MS $3.47 $0.00 – $17.80 148,935 41
Skokie, IL $4.69 $1.58 – $5.69 148,193 36
Vallejo, CA $1.47 $0.00 – $7.43 148,172 30
Tupelo, MS $3.24 $0.00 – $12.39 147,426 73
Danbury, CT $1.24 $0.00 – $29.97 147,121 67
Chico, CA $3.87 $0.00 – $25.33 146,639 32
Jackson, MI $1.39 $0.00 – $9.49 146,632 29
Colorado Springs, CO $3.17 $0.00 – $88.94 145,950 407
Troy, MI $1.87 $0.44 – $5.17 145,638 23
Hampton, VA $0.80 $0.33 – $6.31 145,605 45
Farmington, NM $6.20 $0.00 – $57.11 144,147 82
Omaha, NE $9.41 $0.00 – $108.38 144,008 248
Pasadena, CA $1.93 $0.00 – $26.34 143,997 104
Ocala, FL $2.02 $0.00 – $40.83 143,897 110
Summerville, SC $8.63 $0.23 – $38.54 143,884 56
Edison, NJ $2.75 $0.00 – $53.75 143,867 26
Fall River, MA $3.89 $0.05 – $7.35 143,771 65
Chandler, AZ $3.07 $0.00 – $7.25 143,409 86
Palmdale, CA $19.36 $0.00 – $41.37 143,352 36
Binghamton, NY $2.77 $0.00 – $7.66 143,329 16
Lewiston, ME $0.86 $0.00 – $6.79 143,290 12
Roanoke, VA $1.30 $0.00 – $8.03 141,996 115
Edgewood, KY $4.85 $0.00 – $27.05 141,891 23
Lumberton, NC $3.77 $0.00 – $9.37 141,788 115
Wenatchee, WA $1.96 $0.00 – $15.82 141,151 25
South El Monte, CA $0.90 $0.00 – $7.42 140,804 8
Saint Joseph, MI $1.53 $0.00 – $54.75 139,676 24
Farmingdale, NY $2.35 $0.20 – $2.37 139,525 7
Corbin, KY $3.72 $0.00 – $5.70 139,387 35
Richland, WA $1.62 $0.00 – $11.34 139,342 53
Bangor, ME $1.12 $0.00 – $16.00 139,315 30
Stratford, NJ $2.24 $0.00 – $5.47 139,000 10
Greenwood, SC $12.29 $0.00 – $19.31 138,433 36
San Mateo, CA $3.65 $0.00 – $8.95 138,075 29
Westbury, NY $2.68 $1.98 – $2.79 138,065 9
Tarzana, CA $2.47 $0.00 – $8.15 137,868 23
Stanford, CA $5.54 $0.00 – $65.32 137,865 52
Wyoming, MI $3.32 $0.00 – $93.01 137,854 17
Casa Grande, AZ $0.97 $0.00 – $31.50 137,327 25
Lawrence, MA $1.55 $0.00 – $11.58 136,620 70
Baldwin Park, CA $1.80 $0.00 – $5.95 136,410 23
Mechanicsville, VA $1.90 $0.00 – $7.02 136,223 41
Gilbert, AZ $0.64 $0.00 – $8.16 135,697 95
Delano, CA $1.48 $0.00 – $4.41 135,626 34

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.