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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
Port Huron, MI $1.36 $0.13 – $6.23 134,783 21
Warren, OH $2.57 $0.00 – $14.12 134,716 68
Morehead, KY $4.19 $0.00 – $6.64 134,024 37
Norwich, CT $0.36 $0.00 – $8.77 133,962 58
Johnson City, TN $2.18 $0.00 – $11.82 133,543 168
Des Moines, IA $2.40 $0.00 – $31.46 132,943 220
Greenville, TX $2.83 $0.00 – $49.04 131,854 21
Suffolk, VA $0.68 $0.06 – $7.05 130,402 50
Livingston, NJ $3.60 $0.00 – $5.63 130,308 26
Sumter, SC $21.60 $0.00 – $43.72 129,948 73
Gainesville, GA $3.08 $0.00 – $8.39 129,637 39
Laveen, AZ $0.06 $0.00 – $2.56 129,461 5
Pasadena, TX $4.36 $0.11 – $14.10 128,926 57
Mount Vernon, WA $1.79 $0.21 – $8.58 128,777 32
Passaic, NJ $2.32 $0.00 – $4.16 128,261 34
Augusta, GA $14.66 $0.00 – $148.28 128,071 76
Carolina, PR $3.56 $0.00 – $4.24 127,932 37
Cambridge, MA $4.01 $0.26 – $11.74 127,438 18
Goodyear, AZ $0.77 $0.00 – $5.40 126,892 54
Hackensack, NJ $3.14 $0.00 – $10.80 125,693 36
Elmhurst, IL $2.52 $0.00 – $3.95 125,449 30
Mayaguez, PR $3.37 $0.00 – $5.94 124,617 34
Portland, ME $0.40 $0.00 – $33.17 123,819 35
Weslaco, TX $2.87 $0.00 – $8.48 123,784 47
Orangeburg, SC $11.57 $0.00 – $18.94 123,727 36
Little Rock, AR $5.55 $0.00 – $231.63 122,949 122
Kennewick, WA $3.19 $0.27 – $17.33 122,875 51
Roswell, NM $7.95 $0.00 – $30.85 121,889 60
Albany, NY $3.75 $0.00 – $14.02 121,333 112
Waukegan, IL $1.61 $0.00 – $4.16 120,942 14
Ft Lauderdale, FL $0.72 $0.00 – $8.51 120,663 36
Houma, LA $3.73 $0.00 – $8.37 120,418 88
Fort Lauderdale, FL $1.64 $0.00 – $23.59 120,276 67
Itasca, IL $2.80 $2.42 – $3.44 120,037 2
East Brunswick, NJ $1.41 $0.01 – $4.20 119,683 13
Pueblo, CO $1.52 $0.00 – $8.34 119,574 166
Utica, NY $3.59 $0.00 – $15.20 119,563 38
Augusta, ME $0.96 $0.38 – $42.20 118,355 15
Pensacola, FL $0.92 $0.00 – $78.53 118,344 145
Oroville, CA $3.96 $0.00 – $10.54 117,647 20
Yonkers, NY $14.29 $0.10 – $38.41 117,613 49
Marysville, CA $3.36 $0.00 – $4.81 117,301 28
Feasterville, PA $1.22 $1.22 – $1.22 117,290 1
Lima, OH $1.85 $0.00 – $31.56 116,618 101
Upland, CA $3.02 $0.00 – $4.86 116,599 45
Albany, GA $3.02 $0.00 – $71.32 116,345 29
Prescott, AZ $0.69 $0.00 – $6.64 116,184 26
Norristown, PA $2.60 $0.13 – $16.04 115,862 7
Murray, UT $6.00 $0.00 – $10.89 115,855 26
Conway, SC $8.85 $0.00 – $13.94 114,961 47

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.