Creatinine clearance measurement to test for kidney function
Medicare pricing data for 853 providers across 40 states
This procedure has a 6.3x markup — hospitals charge $58.02 but Medicare allows only $9.18. Uninsured patients may face bills 6.3 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
Creatinine clearance measurement to test for kidney function (HCPCS code 82575) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.18, but hospitals typically charge $58.02 — a 6.3x 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 $9.18, your out-of-pocket cost would be approximately $1.84. 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 6.3x more than what Medicare allows for this procedure. Medicare actually pays $9.18 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Illinois | $9 | $86 | 11 | 126 | +1.0% |
| Indiana | $9 | $40 | 8 | 59 | +1.0% |
| Maine | $9 | $31 | 11 | 34 | +1.0% |
| Nevada | $9 | $70 | 5 | 51 | +1.0% |
| New Hampshire | $9 | $31 | 2 | 23 | +1.0% |
| New Mexico | $9 | $42 | 2 | 14 | +1.0% |
| Oregon | $9 | $36 | 12 | 104 | +1.0% |
| South Dakota | $9 | $52 | 8 | 28 | +1.0% |
| Tennessee | $9 | $46 | 23 | 239 | +1.0% |
| California | $9 | $49 | 37 | 2,804 | +1.0% |
| Colorado | $9 | $80 | 7 | 113 | +1.0% |
| New York | $9 | $51 | 20 | 424 | +0.9% |
| Massachusetts | $9 | $33 | 11 | 439 | +0.8% |
| Missouri | $9 | $55 | 22 | 379 | +0.8% |
| New Jersey | $9 | $52 | 18 | 8,456 | +0.7% |
| Michigan | $9 | $22 | 8 | 412 | +0.5% |
| Texas | $9 | $64 | 73 | 3,907 | +0.5% |
| Puerto Rico | $9 | $10 | 228 | 812 | +0.5% |
| Arizona | $9 | $95 | 7 | 420 | +0.5% |
| Georgia | $9 | $45 | 25 | 1,590 | +0.4% |
| Alabama | $9 | $59 | 19 | 749 | +0.4% |
| Washington | $9 | $59 | 15 | 111 | 0.0% |
| Maryland | $9 | $77 | 3 | 99 | -0.1% |
| North Carolina | $9 | $62 | 49 | 821 | -0.1% |
| South Carolina | $9 | $127 | 16 | 118 | -0.1% |
| Wisconsin | $9 | $108 | 10 | 205 | -0.1% |
| Oklahoma | $9 | $56 | 7 | 241 | -0.2% |
| Kansas | $9 | $80 | 14 | 505 | -0.3% |
| Ohio | $9 | $51 | 25 | 839 | -0.3% |
| Virginia | $9 | $37 | 7 | 42 | -0.3% |
| Louisiana | $9 | $50 | 6 | 36 | -0.5% |
| West Virginia | $9 | $50 | 3 | 107 | -0.5% |
| Pennsylvania | $9 | $61 | 8 | 246 | -0.7% |
| Iowa | $9 | $37 | 12 | 23 | -1.4% |
| Hawaii | $9 | $37 | 2 | 86 | -1.5% |
| Minnesota | $9 | $94 | 19 | 601 | -1.9% |
| Nebraska | $9 | $30 | 3 | 27 | -2.2% |
| Florida | $9 | $78 | 46 | 4,143 | -2.6% |
| Mississippi | $9 | $71 | 6 | 39 | -5.4% |
| Arkansas | $8 | $30 | 22 | 42 | -8.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber