Creatine measurement
Medicare pricing data for 322 providers across 29 states
This procedure has a 12.0x markup — hospitals charge $54.61 but Medicare allows only $4.56. Uninsured patients may face bills 12.0 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
Creatine measurement (HCPCS code 82540) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4.56, but hospitals typically charge $54.61 — a 12.0x 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 $4.56, your out-of-pocket cost would be approximately $0.91. 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 12.0x more than what Medicare allows for this procedure. Medicare actually pays $4.56 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $5 | $71 | 19 | 1,289 | +1.5% |
| Florida | $5 | $54 | 23 | 575 | -0.2% |
| Indiana | $5 | $14 | 2 | 85 | -0.2% |
| Kansas | $5 | $82 | 2 | 41 | -0.2% |
| Kentucky | $5 | $11 | 2 | 26 | -0.2% |
| Massachusetts | $5 | $36 | 4 | 585 | -0.2% |
| Mississippi | $5 | $23 | 3 | 29 | -0.2% |
| Nevada | $5 | $68 | 2 | 140 | -0.2% |
| Ohio | $5 | $65 | 7 | 137 | -0.2% |
| Oklahoma | $5 | $84 | 3 | 13 | -0.2% |
| Pennsylvania | $5 | $67 | 6 | 58 | -0.2% |
| Tennessee | $5 | $238 | 2 | 23 | -0.2% |
| Texas | $5 | $76 | 12 | 209 | -0.2% |
| Utah | $5 | $47 | 2 | 13 | -0.2% |
| Virginia | $5 | $48 | 5 | 99 | -0.2% |
| Washington | $5 | $70 | 3 | 73 | -0.2% |
| Puerto Rico | $5 | $6 | 7 | 41 | -0.2% |
| Alabama | $5 | $41 | 10 | 101 | -0.2% |
| California | $5 | $53 | 126 | 2,133 | -0.2% |
| Colorado | $5 | $64 | 5 | 58 | -0.2% |
| Connecticut | $5 | $12 | 5 | 72 | -0.2% |
| Illinois | $5 | $30 | 12 | 509 | -0.4% |
| New Jersey | $5 | $60 | 12 | 531 | -0.4% |
| North Carolina | $5 | $55 | 9 | 656 | -0.4% |
| Georgia | $5 | $46 | 6 | 179 | -0.7% |
| Arizona | $5 | $103 | 2 | 187 | -0.7% |
| Michigan | $4 | $24 | 4 | 32 | -1.8% |
| Missouri | $4 | $8 | 3 | 106 | -2.0% |
| Maryland | $4 | $65 | 6 | 54 | -2.4% |
⚠️ 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