82570

Creatinine level to test for kidney function or muscle injury

Medicare pricing data for 25,229 providers across 52 states

🤖AI Overview

This procedure has a 8.5x markup — hospitals charge $43.20 but Medicare allows only $5.06. Uninsured patients may face bills 8.5 times higher than what insurance negotiates. This is one of the most commonly performed procedures in Medicare, with 5.1 million services annually. Even small pricing inefficiencies here affect millions of patients. 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

Creatinine level to test for kidney function or muscle injury (HCPCS code 82570) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5.06, but hospitals typically charge $43.20 — a 8.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.01

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $5.06, your out-of-pocket cost would be approximately $1.01. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$5.06
Average Hospital Charge
$43.20
Markup Ratio
8.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$43.20
Medicare Allowed$5.06
Medicare Payment$5.06

Hospitals charge 8.5x more than what Medicare allows for this procedure. Medicare actually pays $5.06 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Florida$5$471,321546,745+0.4%
Kansas$5$55302137,068+0.4%
Massachusetts$5$45789120,194+0.4%
New Hampshire$5$24942,499+0.4%
Vermont$5$341173+0.4%
California$5$45672621,355+0.4%
Illinois$5$41960177,836+0.2%
Maryland$5$4536486,657+0.2%
Nevada$5$578541,376+0.2%
New Jersey$5$55401472,526+0.2%
New Mexico$5$416018,563+0.2%
New York$5$431,335143,799+0.2%
North Carolina$5$481,808477,769+0.2%
Ohio$5$41851164,780+0.2%
Pennsylvania$5$4123671,186+0.2%
Rhode Island$5$25218,258+0.2%
Texas$5$501,999513,522+0.2%
Wyoming$5$18341,076+0.2%
Puerto Rico$5$64838,499+0.2%
Arizona$5$32570277,139+0.2%
Colorado$5$5527029,825+0.2%
Connecticut$5$2323413,076+0.2%
Indiana$5$2056238,6450.0%
Michigan$5$1456728,1390.0%
Missouri$5$2755930,4230.0%
Nebraska$5$1837217,9610.0%
Oklahoma$5$4021349,8250.0%
South Dakota$5$251286,9540.0%
Utah$5$1742923,1130.0%
Virginia$5$2066766,8460.0%
Delaware$5$12275,616-0.2%
Georgia$5$44897143,225-0.2%
Hawaii$5$24642,704-0.2%
Idaho$5$211015,539-0.2%
Iowa$5$2341626,123-0.2%
Louisiana$5$2831826,294-0.2%
Oregon$5$1838937,417-0.2%
Washington$5$3861992,531-0.2%
Alabama$5$45670138,655-0.2%
Kentucky$5$2235717,123-0.4%
Maine$5$17803,867-0.4%
Mississippi$5$2429728,606-0.4%
South Carolina$5$3173360,962-0.4%
Montana$5$17522,607-0.6%
Tennessee$5$271,384137,331-0.6%
West Virginia$5$36453,281-0.6%
Arkansas$5$1833415,700-0.6%
North Dakota$5$29517,549-0.8%
Wisconsin$5$5149161,890-0.8%
Alaska$5$601001,324-1.2%
District of Columbia$5$2221775-5.9%
Minnesota$4$251,41139,886-22.1%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber