Analysis of urine, except immunoassays
Medicare pricing data for 187 providers across 22 states
This procedure has a 7.8x markup — hospitals charge $16.56 but Medicare allows only $2.13. Uninsured patients may face bills 7.8 times higher than what insurance negotiates. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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
Analysis of urine, except immunoassays (HCPCS code 81005) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2.13, but hospitals typically charge $16.56 — a 7.8x 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 $2.13, your out-of-pocket cost would be approximately $0.43. 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 7.8x more than what Medicare allows for this procedure. Medicare actually pays $2.13 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Florida | $2 | $39 | 19 | 402 | +0.5% |
| Georgia | $2 | $44 | 2 | 13 | 0.0% |
| Illinois | $2 | $44 | 5 | 886 | 0.0% |
| Kansas | $2 | $46 | 2 | 23 | 0.0% |
| Louisiana | $2 | $13 | 6 | 16 | 0.0% |
| Maryland | $2 | $10 | 4 | 2,514 | 0.0% |
| Michigan | $2 | $3 | 3 | 102 | 0.0% |
| Nevada | $2 | $4 | 2 | 207 | 0.0% |
| New Jersey | $2 | $16 | 16 | 178 | 0.0% |
| New York | $2 | $19 | 22 | 2,334 | 0.0% |
| Pennsylvania | $2 | $2 | 2 | 425 | 0.0% |
| Virginia | $2 | $50 | 2 | 38 | 0.0% |
| Washington | $2 | $10 | 6 | 71 | 0.0% |
| Puerto Rico | $2 | $4 | 1 | 17 | 0.0% |
| Alabama | $2 | $4 | 1 | 51 | 0.0% |
| Arizona | $2 | $8 | 7 | 11 | 0.0% |
| Arkansas | $2 | $4 | 6 | 218 | 0.0% |
| California | $2 | $10 | 17 | 1,444 | 0.0% |
| Mississippi | $2 | $5 | 7 | 384 | -0.5% |
| Texas | $2 | $33 | 27 | 327 | -0.5% |
| Tennessee | $2 | $7 | 7 | 161 | -0.9% |
| Ohio | $2 | $6 | 2 | 31 | -5.2% |
⚠️ 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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