84520

Urea nitrogen level to assess kidney function, quantitative

Medicare pricing data for 7,185 providers across 51 states

🤖AI Overview

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

Urea nitrogen level to assess kidney function, quantitative (HCPCS code 84520) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $3.78, but hospitals typically charge $16.59 — a 4.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$0.76

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $3.78, your out-of-pocket cost would be approximately $0.76. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$3.78
Average Hospital Charge
$16.59
Markup Ratio
4.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$16.59
Medicare Allowed$3.78
Medicare Payment$3.78

Hospitals charge 4.4x more than what Medicare allows for this procedure. Medicare actually pays $3.78 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$4$13567+2.4%
Massachusetts$4$1662927,051+2.4%
Montana$4$16727+2.4%
Nebraska$4$2259790+2.4%
Nevada$4$20403,713+2.4%
New Mexico$4$197361+2.4%
Rhode Island$4$2283,030+2.4%
South Carolina$4$3911016,095+2.4%
Utah$4$1046322+2.4%
Vermont$4$232184+2.4%
Wyoming$4$182185+2.4%
Puerto Rico$4$52981,539+2.4%
Alaska$4$551320+2.4%
Georgia$4$121423,407+2.1%
Indiana$4$231298,255+2.1%
Iowa$4$152245,980+2.1%
Louisiana$4$15853,190+2.1%
Michigan$4$1213311,573+2.1%
Oregon$4$1344330+2.1%
Pennsylvania$4$131307,473+2.1%
Virginia$4$13893,480+2.1%
Connecticut$4$17371,124+2.1%
Illinois$4$1757716,288+1.9%
Kentucky$4$191081,140+1.9%
Maryland$4$141229,094+1.9%
Minnesota$4$304615,972+1.9%
South Dakota$4$18881,607+1.9%
Idaho$4$1626264+1.6%
Missouri$4$222163,581+1.6%
New Hampshire$4$1463752+1.6%
New York$4$1652017,176+1.6%
Hawaii$4$1792,674+1.3%
Mississippi$4$171104,078+1.3%
Florida$4$1338257,822+1.1%
Kansas$4$13534,032+1.1%
Texas$4$1846931,503+1.1%
Wisconsin$4$461683,917+1.1%
North Carolina$4$1633951,040+0.8%
Colorado$4$16494,383+0.8%
Tennessee$4$172102,354+0.5%
West Virginia$4$1428341+0.3%
Maine$4$1117230-0.3%
Alabama$4$135310,478-0.3%
California$4$1627265,512-0.3%
Ohio$4$1416420,200-0.8%
North Dakota$4$421260-1.3%
New Jersey$4$158851,979-4.5%
Arkansas$4$91101,234-6.3%
Arizona$3$176210,572-8.5%
Oklahoma$3$11752,326-9.0%
Washington$3$11434,113-15.9%

⚠️ 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