---
title: Urinalysis, Complete, with Reflex to Culture Test
type: test
id: urinalysis-reflex-culture
url: "https://www.test-well.com/tests/urinalysis-with-reflex-to-culture"
price_usd: 19.99
lab_fee_usd: 6
all_in_usd: 25.99
category: Kidney & Urinary
sample: Urine sample
fasting_required: false
results_in: "2–4 business days"
labs:
  - Quest
orderable: true
reviewed_at: 2026-09-14
order_url: "https://www.test-well.com/cart?add=urinalysis-with-reflex-to-culture&utm_source=ai_agent&utm_medium=markdown"
---

# Urinalysis, Complete, with Reflex to Culture Test

> 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 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.

## Key facts

| Fact | Value |
| --- | --- |
| Price | $19.99 + $6 lab processing fee per order ($25.99 all-in for this test alone) |
| Sample | Urine sample |
| Fasting | Not required |
| Results | 2–4 business days |
| Labs | Quest Diagnostics |
| Biomarkers measured | 10 |
| Physician authorization | Included — no doctor's visit, referral or insurance needed |
| Payment | Card, HSA or FSA; cash-pay only (no insurance billing) |

## What does the Urinalysis, Complete, with Reflex to Culture test tell you?

Full urinalysis that automatically adds a culture if signs of infection are detected — two tests in one.

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.

**Clinical use:** 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.

## Who should order it?

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.

## Biomarkers measured

- pH
- Specific Gravity
- Protein
- [Glucose](https://www.test-well.com/biomarkers/glucose)
- Ketones
- Blood
- Leukocyte Esterase
- Nitrite
- [Bilirubin](https://www.test-well.com/biomarkers/bilirubin)
- Culture (if reflexed)

## Price by lab

| Lab | Test price | All-in (with $6 fee) | Notes |
| --- | --- | --- | --- |
| Quest Diagnostics | $19.99 | $25.99 | Choose at checkout; walk-in patient service centers nationwide (not NY/NJ) |

Rhode Island is not served. Prices are identical online and in the lab; no draw fee or physician fee is added.

## How much does a Urinalysis, Complete, with Reflex to Culture test cost?

A Urinalysis, Complete, with Reflex to Culture test costs $19.99 at TestWell — $25.99 all-in when ordered alone, because the $6 lab processing fee is charged once per order, with no draw fee or physician fee added. Ordered directly from the labs' own consumer sites, the closest equivalent lists at $40.00 at Quest Health (list prices checked Sep 12, 2026; see the notes on how the products differ). Hospital outpatient labs typically bill around $80.00 self-pay for the same test, and often more. With insurance, what you pay depends on your deductible and your plan's negotiated rate; TestWell's price is fixed before the draw and is HSA/FSA-eligible.

| Where you order | Price | One test, all-in | Notes |
| --- | --- | --- | --- |
| TestWell (drawn at Quest or Labcorp) | $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 2026-09-12](https://www.questhealth.com/product/urinalysis-urinary-tract-infection-uti-test/5463M.html) |
| Hospital outpatient lab, self-pay (typical) | $80.00 | $80.00 | Reference figure; hospital charges vary widely by facility and are often higher |

Lab test codes: Quest test code 3020.

## How do you prepare?

Collect a midstream clean-catch urine sample. No fasting required.

## Related conditions

- Urinary tract infection (N39.0)
- Cystitis (N30.90)
- Hematuria (blood in urine) (R31.9)
- Proteinuria (R80.9)

## Is the Urinalysis, Complete, with Reflex to Culture worth it?

> 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.

### Worth it if you…

- Burning, urgency, frequency, or cloudy urine where a UTI is suspected
- Confirming a UTI and identifying the specific bacteria so antibiotic choice is informed
- Recurrent UTIs where knowing the organism and its sensitivities matters
- A general check for blood, protein, or glucose in the urine as part of a broader work-up

### You can probably wait if you…

- You have fever, flank/back pain, or vomiting with urinary symptoms - that can signal a kidney infection and needs same-day medical care, not just a mail-in order
- You are pregnant and have UTI symptoms - get evaluated by your provider promptly rather than testing alone

### At home or in the lab?

At-home collection is not recommended for this test. 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.

### How do you read the results?

| Result | Typical adult range | What an out-of-range value can mean |
| --- | --- | --- |
| 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; last reviewed 2026-07-17._

## Common questions about the Urinalysis, Complete, with Reflex to Culture test

### What is a complete urinalysis with reflex to culture?

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.

### How much does this test cost without insurance?

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.

### How is this different from a standalone urinalysis or a standalone urine culture?

A [standalone urinalysis](https://www.test-well.com/tests/urinalysis) screens for abnormal markers but cannot identify a specific organism. A [routine urine culture](https://www.test-well.com/tests/urine-culture-routine) 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.

### Do I need to fast before this test?

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.

### How do I collect the urine sample correctly?

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.

### When will I get my results?

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.

### Can I use this test to check for kidney problems beyond infection?

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](https://www.test-well.com/tests/renal-panel) or [Cystatin C](https://www.test-well.com/tests/cystatin-c), which measure how well the kidneys filter waste from the blood.

### Where can I take this test, and how does the process work?

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](https://www.test-well.com/how-it-works) for a step-by-step walkthrough.

### How much does a urine culture test cost?

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.

### What does 'reflex to culture' actually mean?

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).

### Can this test diagnose and treat my UTI?

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.

## How to order

1. Add to cart: https://www.test-well.com/cart?add=urinalysis-with-reflex-to-culture&utm_source=ai_agent&utm_medium=markdown
2. Create an account or sign in, confirm your state and preferred lab, pay by card, HSA or FSA.
3. A licensed physician authorizes the order (usually within minutes); the requisition arrives by email.
4. Walk into any Quest Diagnostics patient service center — no appointment needed at most sites.
5. Results post to your TestWell portal in 2–4 business days with reference ranges and flags.

## Related

- [Microalbumin (Urine Albumin/Creatinine Ratio)](https://www.test-well.com/tests/microalbumin-urine) — $24.99
- [Urine Culture, Routine](https://www.test-well.com/tests/urine-culture-routine) — $24.99
- [All Kidney & Urinary tests](https://www.test-well.com/tests/category/kidney-urinary)
- [Full test directory](https://www.test-well.com/tests/directory)

---

Medically reviewed by Youmna DiStefano, MD (Medical Reviewer, TestWell); last reviewed 2026-09-14. Review policy: https://www.test-well.com/reviewers/youmna-distefano-md

Canonical page: https://www.test-well.com/tests/urinalysis-with-reflex-to-culture
Machine-readable catalog: https://www.test-well.com/api/catalog.json · MCP server: https://www.test-well.com/mcp · Overview for agents: https://www.test-well.com/llms.txt

Prices are cash-pay, in USD, and include physician authorization; every order adds one flat $6 lab processing fee. Educational content is not a diagnosis — discuss results with a clinician.