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See a sample rate comparisonHCPCS P7001 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Culture, bacterial, urine; quantitative, sensitivity study
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Services Urine Bacterial Culture and Sensitivity Studies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for P7001 |
National average reimbursement for HCPCS P7001 by major payers:
$20.79
$12.10
$15.36
$19.14
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HCPCS P7001
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$135.80Published rateJackson Parish Hospital, Jackson Parish Hospital
$19.48Published rateRockdale Medical Center Inc., Rockdale Hospital
Piedmont Rockdale Hospital Inc
$16.53Published rateConcordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
$11.46Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$6.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS P7001 vs. Other Urine Bacterial Culture and Sensitivity Studies Codes
The HCPCS P7001 code is part of the Pathology and Laboratory Services services used for Urine Bacterial Culture and Sensitivity Studies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS P7001 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| P3001-HCPCS | Low | Screening Papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
| P7001-HCPCS | Low | Culture, bacterial, urine; quantitative, sensitivity study |
| P9010-HCPCS | Low | Blood (whole), for transfusion, per unit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS P7001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the P7001 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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