81050

Urine volume measurement

Medicare pricing data for 1,008 providers across 38 states

🤖AI Overview

This procedure has a 5.1x markup — hospitals charge $18.05 but Medicare allows only $3.57. Uninsured patients may face bills 5.1 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

Urine volume measurement (HCPCS code 81050) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $3.57, but hospitals typically charge $18.05 — a 5.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.71

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $3.57, your out-of-pocket cost would be approximately $0.71. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$3.57
Average Hospital Charge
$18.05
Markup Ratio
5.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$18.05
Medicare Allowed$3.57
Medicare Payment$3.57

Hospitals charge 5.1x more than what Medicare allows for this procedure. Medicare actually pays $3.57 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Minnesota$4$282098,008+0.6%
Georgia$4$70163340.0%
Illinois$4$162551,1330.0%
Maryland$4$1131440.0%
Massachusetts$4$12371800.0%
Michigan$4$1182070.0%
Nebraska$4$6222300.0%
Nevada$4$152350.0%
New Jersey$4$671,3800.0%
New Mexico$4$234550.0%
New York$4$22417500.0%
Pennsylvania$4$17101,2030.0%
South Carolina$4$1924810.0%
South Dakota$4$2322570.0%
Washington$4$10101310.0%
Wisconsin$4$31184840.0%
Arkansas$4$1113340.0%
California$4$12371,0720.0%
Florida$4$24322,923-0.3%
Hawaii$4$82391-0.3%
Texas$4$22994,027-0.3%
Virginia$4$2114317-0.3%
Arizona$4$25163,465-0.3%
Idaho$4$13785-0.6%
Iowa$4$2010207-0.6%
Ohio$4$1110556-0.6%
Oklahoma$4$92383-0.6%
Alabama$4$4435394-0.6%
Louisiana$4$822100-0.8%
Tennessee$4$1527201-0.8%
Oregon$4$1327584-1.1%
Puerto Rico$4$423106-1.4%
Indiana$4$121953-1.7%
North Carolina$4$2289196-2.0%
Kentucky$3$1514154-2.5%
Connecticut$3$18164-2.5%
Mississippi$3$1915180-2.8%
North Dakota$3$151526-4.5%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber