83935

Urine osmolality (concentration) measurement

Medicare pricing data for 658 providers across 43 states

🤖AI Overview

This procedure has a 11.0x markup — hospitals charge $73.27 but Medicare allows only $6.68. Uninsured patients may face bills 11.0 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 osmolality (concentration) measurement (HCPCS code 83935) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $6.68, but hospitals typically charge $73.27 — a 11.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$1.34

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $6.68, your out-of-pocket cost would be approximately $1.34. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$6.68
Average Hospital Charge
$73.27
Markup Ratio
11.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$73.27
Medicare Allowed$6.68
Medicare Payment$6.68

Hospitals charge 11.0x more than what Medicare allows for this procedure. Medicare actually pays $6.68 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Minnesota$7$7115120,311+0.1%
Georgia$7$10071,7510.0%
Idaho$7$404280.0%
Indiana$7$6661110.0%
Kansas$7$9971,7340.0%
Kentucky$7$3561050.0%
Louisiana$7$475240.0%
Massachusetts$7$89871,6920.0%
Missouri$7$165220.0%
Nevada$7$8824460.0%
New Hampshire$7$3115190.0%
New Mexico$7$6931050.0%
New York$7$50151,7500.0%
North Dakota$7$449610.0%
Oklahoma$7$6583980.0%
Pennsylvania$7$76136050.0%
Rhode Island$7$332950.0%
South Dakota$7$493590.0%
Tennessee$7$5245150.0%
Texas$7$77294,3850.0%
Utah$7$182570.0%
Virginia$7$28176560.0%
Puerto Rico$7$820410.0%
Alabama$7$6651,4090.0%
Arizona$7$6972,9920.0%
Colorado$7$6172670.0%
Florida$7$91144,652-0.1%
Illinois$7$9317791-0.1%
Maryland$7$916783-0.1%
North Carolina$7$65127,619-0.1%
Ohio$7$55141,195-0.1%
California$7$71356,689-0.1%
Connecticut$7$62224-0.1%
New Jersey$7$86475,772-0.3%
Washington$7$7112690-0.3%
Iowa$7$474190-0.4%
Hawaii$7$302374-0.6%
Oregon$7$425200-0.9%
Wisconsin$7$5915622-0.9%
Michigan$7$4210118-1.3%
South Carolina$7$22869-2.1%
Maine$7$31268-2.5%
Mississippi$6$167716-6.3%

⚠️ 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