Urinalysis using microscope
Medicare pricing data for 3,090 providers across 48 states
This procedure has a 6.2x markup — hospitals charge $18.34 but Medicare allows only $2.98. Uninsured patients may face bills 6.2 times higher than what insurance negotiates. 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
Urinalysis using microscope (HCPCS code 81015) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2.98, but hospitals typically charge $18.34 — a 6.2x 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 $2.98, your out-of-pocket cost would be approximately $0.60. 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 6.2x more than what Medicare allows for this procedure. Medicare actually pays $2.98 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $3 | $13 | 19 | 6,504 | +0.7% |
| Florida | $3 | $20 | 145 | 18,281 | +0.3% |
| Kansas | $3 | $29 | 46 | 4,384 | +0.3% |
| Louisiana | $3 | $8 | 16 | 876 | +0.3% |
| Maine | $3 | $12 | 32 | 66 | +0.3% |
| Massachusetts | $3 | $24 | 102 | 7,730 | +0.3% |
| Missouri | $3 | $15 | 82 | 1,313 | +0.3% |
| Montana | $3 | $13 | 18 | 156 | +0.3% |
| Nebraska | $3 | $13 | 14 | 182 | +0.3% |
| Nevada | $3 | $26 | 9 | 1,528 | +0.3% |
| New Hampshire | $3 | $10 | 21 | 103 | +0.3% |
| New Jersey | $3 | $27 | 8 | 7,460 | +0.3% |
| New Mexico | $3 | $21 | 16 | 150 | +0.3% |
| New York | $3 | $15 | 113 | 4,954 | +0.3% |
| Ohio | $3 | $22 | 90 | 2,490 | +0.3% |
| Pennsylvania | $3 | $21 | 34 | 2,893 | +0.3% |
| Rhode Island | $3 | $10 | 5 | 178 | +0.3% |
| South Carolina | $3 | $15 | 80 | 858 | +0.3% |
| Tennessee | $3 | $22 | 68 | 2,256 | +0.3% |
| Texas | $3 | $22 | 106 | 10,374 | +0.3% |
| Utah | $3 | $9 | 72 | 621 | +0.3% |
| Wyoming | $3 | $9 | 21 | 30 | +0.3% |
| Alaska | $3 | $39 | 12 | 31 | +0.3% |
| Arizona | $3 | $13 | 22 | 5,773 | +0.3% |
| California | $3 | $18 | 167 | 16,176 | +0.3% |
| Connecticut | $3 | $25 | 2 | 14 | +0.3% |
| Hawaii | $3 | $11 | 4 | 1,545 | 0.0% |
| Idaho | $3 | $14 | 26 | 165 | 0.0% |
| Illinois | $3 | $16 | 42 | 7,325 | 0.0% |
| Indiana | $3 | $21 | 41 | 650 | 0.0% |
| North Dakota | $3 | $23 | 9 | 217 | 0.0% |
| Oklahoma | $3 | $12 | 23 | 3,232 | 0.0% |
| Oregon | $3 | $11 | 137 | 3,883 | 0.0% |
| South Dakota | $3 | $16 | 29 | 209 | 0.0% |
| Virginia | $3 | $11 | 130 | 4,494 | 0.0% |
| Wisconsin | $3 | $26 | 195 | 1,485 | 0.0% |
| Alabama | $3 | $12 | 49 | 1,874 | 0.0% |
| Arkansas | $3 | $10 | 57 | 1,003 | 0.0% |
| Iowa | $3 | $16 | 57 | 271 | -0.3% |
| Kentucky | $3 | $8 | 30 | 1,218 | -0.3% |
| Mississippi | $3 | $13 | 70 | 562 | -0.3% |
| North Carolina | $3 | $18 | 256 | 9,387 | -0.3% |
| Washington | $3 | $18 | 86 | 2,471 | -0.3% |
| Georgia | $3 | $18 | 161 | 9,356 | -0.7% |
| Minnesota | $3 | $17 | 293 | 1,081 | -0.7% |
| Colorado | $3 | $15 | 18 | 1,469 | -0.7% |
| West Virginia | $3 | $23 | 7 | 30 | -1.0% |
| Michigan | $3 | $19 | 45 | 449 | -1.7% |
⚠️ 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