The short answer
Urinalysis, Complete, with Reflex to Culture measures pH, Specific Gravity and Protein plus 7 more from a urine sample. At TestWell it costs $19.99 plus a $6 lab processing fee, needs no fasting, and results post in 2–4 business days. Physician-authorized with no doctor's visit or insurance needed; draw at Quest.
Hospital Lab
$80
cash pay
Other Labs
$35
+ lab fees
TestWell
$19.99
+ $6 lab processing fee
This test combines a complete urinalysis with an automatic reflex to culture. First, your urine is analyzed for physical and chemical properties (pH, protein, glucose, blood, leukocytes, etc.). If the results suggest a possible infection — such as elevated white blood cells or bacteria — the lab automatically performs a urine culture to identify the specific bacteria and test antibiotic sensitivity. This eliminates the need to order a separate culture, saving time and an extra lab visit. Ideal for patients with UTI symptoms, recurrent infections, or when a provider needs a complete picture from a single sample.
A complete urinalysis that automatically triggers a urine culture if the dipstick or microscopic results suggest infection. One order covers both the screening and the confirmatory step — identifying whether bacteria are present and, if so, which organism is responsible.
Anyone experiencing burning with urination, frequent urge to urinate, cloudy or foul-smelling urine, pelvic pressure, or blood in the urine. Also useful for people with recurrent UTIs who want to confirm an active infection before seeking treatment, or for routine kidney health screening.
Sample Type
Urine sample
Fasting
Not required
Results In
2–4 business days
Performed At
Quest
10 biomarkers tested
Your Urinalysis, Complete, with Reflex to Culture results will include values for each of the 10 biomarkers tested, along with reference ranges. Results are reviewed by a licensed physician before being released to your secure portal.
If any values fall outside the normal range, your report will include guidance on what that may mean and recommended next steps. You'll receive an email notification when your results are ready, typically within 2–4 business days.
Typical reference range layout
Lab reports show where your value sits relative to established reference intervals—your physician interprets this in context for you. Already have results? Analyze them with your AI assistant against our physician-reviewed ranges.
Collect a midstream clean-catch urine sample. No fasting required.
The short answer
Good value at $19.99 when you have urinary symptoms and want to confirm an infection and identify the bacteria in one order. The reflex design means a culture is added automatically only if the urinalysis shows signs of infection - so you are not paying for a culture you do not need.
We would rather you order the right test than the most expensive one.
This is a urine test, not a blood draw, so a mobile phlebotomist does not apply - you provide a clean-catch urine sample at a Quest location. The value is in the reflex: a full urinalysis runs first, and only if it shows infection markers (like nitrites or leukocyte esterase) does the lab automatically add a culture to grow and identify the bacteria. That is two tests from one $19.99 sample versus the $30-40 many labs charge for a culture alone.
An at-home draw is not recommended for this test — it needs a lab-based collection to be accurate.
The markers that matter most and what an out-of-range value can mean. Reference ranges vary by lab, age and sex.
| Marker | Typical range | What it means |
|---|---|---|
| Leukocyte esterase | Negative | A positive points to white blood cells in the urine - a common sign of infection or inflammation and one of the triggers for the reflex culture. |
| Nitrite | Negative | A positive strongly suggests bacterial infection (many UTI bacteria convert nitrate to nitrite) and is a key reflex trigger. |
| Blood / protein / glucose | Negative | Blood can reflect infection, stones, or other causes; protein can flag kidney issues; glucose can be an early clue to diabetes and warrants follow-up. |
| Culture (if reflexed) | No growth / organism named | When triggered, the culture grows and identifies the specific bacteria - the information a clinician uses to pick the right antibiotic. |
This section medically reviewed by Youmna DiStefano, MD — updated July 2026. General health information, not medical advice; interpret results with a qualified clinician.
TestWell orders the same Urinalysis, Complete, with Reflex to Culture the labs run for doctors' offices, so you can walk into Quest Diagnostics with our requisition — no doctor's visit, a licensed physician authorizes the order, and most patient service centers take walk-ins. The table shows each lab's own test code, the name printed on the requisition, what the lab charges on its own consumer site, and the price through TestWell at that lab (plus one $6 fee per order).
| Lab | Test code | On the requisition | Lab's own site | Through TestWell |
|---|---|---|---|---|
| Quest Diagnostics | test code 3020 | “Urinalysis, Complete, with Reflex to Culture” | $40.00 | $19.99 + $6 |
You choose the lab at checkout; the requisition is written for that lab and arrives by email within minutes. New York and New Jersey orders draw at BioReference. Lab-direct prices are read from the labs' public pages and re-checked regularly.
Where to get it near you: patient service centers by state and city · search by ZIP code
An Urinalysis, Complete, with Reflex to Culture test costs $19.99 at TestWell — $25.99 all-in, since the $6 lab processing fee is charged once per order and there is no draw or physician fee. The labs' own sites list the closest equivalent at $40.00 at Quest Health (checked Oct 10, 2026; see the product notes). Hospital outpatient labs typically bill around $80.00 self-pay. With insurance you pay your plan's negotiated rate against your deductible; TestWell's price is fixed before the draw and HSA/FSA-eligible. Full cost breakdown →
| Where you order | Price | One test, all-in | Notes |
|---|---|---|---|
| TestWell (drawn at Quest) | $19.99 | $25.99 | Includes the one $6 lab processing fee, charged once per order |
| Quest Health (Quest Diagnostics' own site) | $40.00 | $40.00 | Quest Health's UTI test is a urinalysis with reflex to culture · list price checked Oct 10, 2026 |
| Hospital outpatient lab, self-pay (typical) | $80.00 | $80.00 | Reference figure; hospital charges vary widely by facility and are often higher |
35% less than the lower lab-direct list price, for the same draw at the same lab. Lab test codes: Quest test code 3020. Competitor prices are read from the linked public pages and re-checked regularly; the labs' sites may add taxes or change prices without notice.
Compare more: Quest Diagnostics price list · Labcorp price list · Quest vs Labcorp · Lab test price checker
It is a two-in-one urine test. First, a full urinalysis checks chemical and microscopic markers — pH, specific gravity, protein, glucose, ketones, blood, leukocyte esterase, nitrite, and bilirubin. If those results indicate a possible infection, the lab automatically performs a urine culture on the same sample, identifying the bacteria and guiding antibiotic selection. You do not need to order a second test or provide another sample.
TestWell prices this test at $19.99. Quest Diagnostics lists a comparable panel at $35, and a hospital lab encounter for the same work typically runs around $80 out of pocket. You get the same CLIA-certified result for significantly less by ordering through TestWell.
A standalone urinalysis screens for abnormal markers but cannot identify a specific organism. A routine urine culture confirms infection and identifies the bacteria, but requires a clinician to order it separately. The reflex version combines both steps: the culture only runs if the urinalysis flags a reason — saving you time and avoiding an unnecessary culture charge when results are normal.
No fasting is required. You can eat and drink normally. The only preparation is collecting a midstream clean-catch urine sample: wipe the area with the provided cleansing wipe, let the first bit of urine pass into the toilet, then collect the middle portion in the cup. This technique reduces contamination and improves result accuracy.
Use the midstream clean-catch method. Begin urinating into the toilet, then shift the collection cup into the stream to catch the middle portion, then finish into the toilet. Seal and label the cup promptly. Do not touch the inside of the cup. Deliver the sample to the lab within the time window specified at your patient service center.
The urinalysis portion typically returns within 2–4 business days. If a culture is triggered, the culture result may add time because bacteria need time to grow in the lab. Your online account will update as each component completes. Share results with your provider for interpretation.
The urinalysis component does screen for markers associated with kidney stress — protein, blood, and glucose in the urine can all signal kidney-related issues. For deeper kidney function evaluation, consider the Renal Panel or Cystatin C, which measure how well the kidneys filter waste from the blood.
After you order on TestWell, you receive a digital lab requisition. Bring it to any Quest Diagnostics patient service center near you — no appointment required at most locations. Provide your urine sample on-site, and the lab handles the rest. See how it works for a step-by-step walkthrough.
TestWell offers a complete urinalysis with reflex to culture for $19.99 - the urinalysis runs first and a culture is added automatically only if infection markers appear, so you get both from one sample. Many labs charge $30-40 for a culture alone; here it is included in the reflex when clinically warranted, with no doctor visit needed.
It means the culture is conditional. The lab performs a full urinalysis first; if that shows signs of infection - such as positive nitrites or leukocyte esterase - it automatically 'reflexes' to a urine culture that grows and identifies the bacteria. If the urinalysis is clean, no culture is run (and you are not charged for one you did not need).
It can confirm a UTI and identify the bacteria, which is exactly what informs treatment - but TestWell does not prescribe antibiotics, so you would take the results to a provider. Importantly, if you have fever, back pain, or vomiting alongside urinary symptoms, do not wait for mail-in results; those can signal a kidney infection that needs same-day care.
Ordered directly, the closest equivalent lists at $40.00 at Quest Health (Quest Diagnostics' own site) (prices checked October 2026). TestWell orders the same test at the same Quest patient service centers for $19.99 — $25.99 all-in with the $6 per-order lab processing fee — paid out of pocket at checkout with no insurance, doctor's visit or draw fee; HSA and FSA cards are accepted.
The Urinalysis, Complete, with Reflex to Culture test is Quest Diagnostics test code 3020. TestWell orders it under that code for $19.99 at Quest — no doctor's visit or insurance required, results in 2–4 business days. Codes verified against the labs' catalogs in 2026.
Medically reviewed by Youmna DiStefano, MD · Last reviewed September 2026
TestWell Price
$19.99
+ $6 lab processing fee at checkout
No insurance needed · HIPAA compliant
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