Manual urinalysis test with examination using microscope, non-automated
Medicare pricing data for 9,333 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $4 | $13 | 264 | 61,474 | +0.5% |
| Idaho | $4 | $18 | 42 | 828 | +0.5% |
| Montana | $4 | $11 | 7 | 311 | +0.5% |
| New Jersey | $4 | $35 | 141 | 19,096 | +0.5% |
| South Dakota | $4 | $29 | 4 | 320 | +0.5% |
| California | $4 | $15 | 999 | 117,600 | +0.5% |
| Delaware | $4 | $21 | 36 | 271 | +0.3% |
| Indiana | $4 | $13 | 133 | 5,921 | +0.3% |
| Massachusetts | $4 | $16 | 106 | 8,614 | +0.3% |
| Nebraska | $4 | $16 | 68 | 4,859 | +0.3% |
| New York | $4 | $23 | 482 | 46,898 | +0.3% |
| North Dakota | $4 | $18 | 21 | 1,080 | +0.3% |
| Ohio | $4 | $14 | 219 | 8,221 | +0.3% |
| West Virginia | $4 | $13 | 33 | 1,387 | +0.3% |
| Wisconsin | $4 | $40 | 38 | 2,285 | +0.3% |
| Wyoming | $4 | $28 | 15 | 4,100 | +0.3% |
| Arizona | $4 | $14 | 103 | 16,297 | +0.3% |
| Connecticut | $4 | $11 | 64 | 2,031 | +0.3% |
| Illinois | $4 | $27 | 277 | 8,162 | 0.0% |
| Iowa | $4 | $24 | 155 | 7,140 | 0.0% |
| Kansas | $4 | $25 | 47 | 3,663 | 0.0% |
| Missouri | $4 | $24 | 80 | 10,981 | 0.0% |
| North Carolina | $4 | $14 | 339 | 25,387 | 0.0% |
| Pennsylvania | $4 | $21 | 460 | 16,297 | 0.0% |
| South Carolina | $4 | $19 | 175 | 19,323 | 0.0% |
| Utah | $4 | $15 | 91 | 5,149 | 0.0% |
| Arkansas | $4 | $11 | 196 | 13,719 | 0.0% |
| Colorado | $4 | $16 | 163 | 5,033 | 0.0% |
| District of Columbia | $4 | $23 | 25 | 255 | -0.3% |
| Georgia | $4 | $24 | 240 | 17,451 | -0.3% |
| Kentucky | $4 | $19 | 119 | 4,435 | -0.3% |
| Maine | $4 | $14 | 56 | 1,018 | -0.3% |
| Maryland | $4 | $25 | 407 | 21,649 | -0.3% |
| New Mexico | $4 | $17 | 47 | 1,273 | -0.3% |
| Oregon | $4 | $20 | 122 | 7,691 | -0.3% |
| Rhode Island | $4 | $21 | 8 | 130 | -0.3% |
| Texas | $4 | $18 | 916 | 53,967 | -0.3% |
| Virginia | $4 | $18 | 567 | 49,937 | -0.3% |
| Puerto Rico | $4 | $4 | 397 | 18,862 | -0.3% |
| Alaska | $4 | $34 | 46 | 1,110 | -0.3% |
| Louisiana | $4 | $15 | 162 | 16,471 | -0.5% |
| Michigan | $4 | $14 | 373 | 17,320 | -0.5% |
| Mississippi | $4 | $17 | 231 | 16,190 | -0.5% |
| New Hampshire | $4 | $13 | 31 | 412 | -0.5% |
| Oklahoma | $4 | $16 | 69 | 3,282 | -0.5% |
| Washington | $4 | $17 | 135 | 9,820 | -0.5% |
| Minnesota | $4 | $18 | 29 | 168 | -0.8% |
| Nevada | $4 | $25 | 92 | 2,019 | -0.8% |
| Tennessee | $4 | $17 | 200 | 8,706 | -0.8% |
| Alabama | $4 | $13 | 248 | 16,334 | -1.0% |
| Hawaii | $4 | $17 | 32 | 3,049 | -2.0% |
| Vermont | $4 | $20 | 14 | 80 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber