Urinalysis for bacteria
Medicare pricing data for 488 providers across 30 states
Prices vary significantly by location — from $10 in Indiana to $29 in Maine. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Urinalysis for bacteria (HCPCS code 81007) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $29.22, but hospitals typically charge $47.93 — a 1.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $29.22, your out-of-pocket cost would be approximately $5.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 1.6x more than what Medicare allows for this procedure. Medicare actually pays $29.22 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maine | $29 | $40 | 5 | 780 | +0.5% |
| Michigan | $29 | $39 | 9 | 97 | +0.5% |
| New Mexico | $29 | $44 | 2 | 34 | +0.5% |
| Oregon | $29 | $60 | 4 | 41 | +0.5% |
| South Carolina | $29 | $55 | 3 | 102 | +0.5% |
| Arizona | $29 | $45 | 33 | 62,561 | +0.5% |
| Colorado | $29 | $53 | 10 | 41 | +0.5% |
| Louisiana | $29 | $60 | 5 | 9,191 | +0.5% |
| Missouri | $29 | $46 | 9 | 4,910 | +0.5% |
| Illinois | $29 | $60 | 5 | 1,933 | +0.5% |
| Kansas | $29 | $45 | 2 | 1,764 | +0.4% |
| Kentucky | $29 | $79 | 4 | 19 | +0.4% |
| North Carolina | $29 | $35 | 6 | 2,853 | +0.3% |
| Ohio | $29 | $48 | 23 | 505 | +0.2% |
| California | $29 | $43 | 120 | 6,608 | +0.2% |
| Florida | $29 | $43 | 46 | 7,413 | +0.1% |
| Massachusetts | $29 | $40 | 6 | 211 | -0.1% |
| Georgia | $29 | $95 | 45 | 3,122 | -0.5% |
| Oklahoma | $29 | $44 | 6 | 64 | -0.8% |
| Arkansas | $29 | $104 | 4 | 898 | -1.2% |
| Tennessee | $28 | $89 | 9 | 345 | -2.8% |
| Nevada | $28 | $38 | 4 | 21 | -3.0% |
| New Jersey | $28 | $47 | 14 | 344 | -3.5% |
| Alabama | $28 | $45 | 8 | 4,896 | -3.6% |
| Texas | $27 | $47 | 48 | 390 | -8.2% |
| Mississippi | $24 | $31 | 26 | 1,037 | -17.9% |
| Pennsylvania | $23 | $38 | 6 | 25 | -20.8% |
| New York | $23 | $34 | 10 | 29 | -21.0% |
| Washington | $22 | $22 | 1 | 52 | -26.1% |
| Indiana | $10 | $17 | 4 | 27 | -64.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber