81000

Manual urinalysis test with examination using microscope, non-automated

Medicare pricing data for 9,333 providers across 52 states

🤖AI Overview

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

Manual urinalysis test with examination using microscope, non-automated (HCPCS code 81000) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $3.92, but hospitals typically charge $17.38 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.78

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $3.92, your out-of-pocket cost would be approximately $0.78. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$3.92
Average Hospital Charge
$17.38
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$17.38
Medicare Allowed$3.92
Medicare Payment$3.92

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $3.92 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$4$1326461,474+0.5%
Idaho$4$1842828+0.5%
Montana$4$117311+0.5%
New Jersey$4$3514119,096+0.5%
South Dakota$4$294320+0.5%
California$4$15999117,600+0.5%
Delaware$4$2136271+0.3%
Indiana$4$131335,921+0.3%
Massachusetts$4$161068,614+0.3%
Nebraska$4$16684,859+0.3%
New York$4$2348246,898+0.3%
North Dakota$4$18211,080+0.3%
Ohio$4$142198,221+0.3%
West Virginia$4$13331,387+0.3%
Wisconsin$4$40382,285+0.3%
Wyoming$4$28154,100+0.3%
Arizona$4$1410316,297+0.3%
Connecticut$4$11642,031+0.3%
Illinois$4$272778,1620.0%
Iowa$4$241557,1400.0%
Kansas$4$25473,6630.0%
Missouri$4$248010,9810.0%
North Carolina$4$1433925,3870.0%
Pennsylvania$4$2146016,2970.0%
South Carolina$4$1917519,3230.0%
Utah$4$15915,1490.0%
Arkansas$4$1119613,7190.0%
Colorado$4$161635,0330.0%
District of Columbia$4$2325255-0.3%
Georgia$4$2424017,451-0.3%
Kentucky$4$191194,435-0.3%
Maine$4$14561,018-0.3%
Maryland$4$2540721,649-0.3%
New Mexico$4$17471,273-0.3%
Oregon$4$201227,691-0.3%
Rhode Island$4$218130-0.3%
Texas$4$1891653,967-0.3%
Virginia$4$1856749,937-0.3%
Puerto Rico$4$439718,862-0.3%
Alaska$4$34461,110-0.3%
Louisiana$4$1516216,471-0.5%
Michigan$4$1437317,320-0.5%
Mississippi$4$1723116,190-0.5%
New Hampshire$4$1331412-0.5%
Oklahoma$4$16693,282-0.5%
Washington$4$171359,820-0.5%
Minnesota$4$1829168-0.8%
Nevada$4$25922,019-0.8%
Tennessee$4$172008,706-0.8%
Alabama$4$1324816,334-1.0%
Hawaii$4$17323,049-2.0%
Vermont$4$201480-5.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber