81025
Urine pregnancy test
Urine pregnancy test is the #419 most-billed Medicaid procedure code, with $246.9M in payments across 42.2M claims from 2018–2024. The national median cost per claim is $4.81.
Total Paid
$246.9M
0.02% of all spending
Total Claims
42.2M
Providers
17K
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 81025? Based on 16K providers billing this code nationally.
Median
$4.81
Average
$6.11
Std Dev
$15.60
Max
$721.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.50 and $6.54 per claim for this code.
90% bill between $0.61 and $8.03.
Top 1% bill above $43.85.
About This Procedure
HCPCS code 81025 (Urine pregnancy test) was billed by 17K providers across 42.2M claims, totaling $246.9M in Medicaid payments from 2018–2024. This code was used for 37.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.81
Providers Billing
16K
National Spending
$246.9M
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81025
| # | Provider | Total Paid |
|---|---|---|
| 1 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $4.4M |
| 2 | 1154373843 | $3.9M |
| 3 | 1134187842 | $2.8M |
| 4 | Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital | $2.7M |
| 5 | 1407301211 | $2.6M |
| 6 | Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility | $1.9M |
| 7 | 1174500458 | $1.9M |
| 8 | 1376686600 | $1.7M |
| 9 | 1487868097 | $1.5M |
| 10 | 1942247044 | $1.5M |
| 11 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $1.4M |
| 12 | 1205889458 | $1.4M |
| 13 | 1649726738 | $1.4M |
| 14 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $1.3M |
| 15 | 1639186760 | $1.2M |
| 16 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $1.1M |
| 17 | 1508856535 | $1.1M |
| 18 | 1871678458 | $1.1M |
| 19 | Mary Imogene Bassett Hospital Cooperstown, NY · General Acute Care Hospital, Rural | $1.1M |
| 20 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $1.1M |
Showing top 20 of 17K providers billing this code